MEDICARE: MARY J. YANICS PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY 985	KS
2	103TC0700X	Clinical Psychologist	PY R0477	MO

General Provider Information

NPI Number	:	1043313885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY J. YANICS PH.D.

Provider Business Mailing Address
First Line	:	5930 W 87TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66207-1535
Country	:	US
Telephone Number	:	913-484-8410
Fax Number	:

Provider Business Practice Location Address
First Line	:	5930 W 87TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66207-1535
Country	:	US
Telephone Number	:	913-484-8410
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	01/14/2026

Similar Medicare Providers

1609864297 — DR. BETH KRIEGER PSY.D
Practice Location Address:

8116 265TH ST
FLORAL PARK, NY
11004-1535

Practice Phone: 718-343-4261
Practice Fax:

1669456174 — DR. TOBIAS ANTHONY PAIVA DO
Practice Location Address:

1535 RIVER PARK DR STE 2000
SACRAMENTO, CA
95815-4601

Practice Phone: 916-286-1080
Practice Fax:

1235196767 — KIMBERLY J SAUNDERS PT
Practice Location Address:

1535 RIVER PARK DR STE 1000
SACRAMENTO, CA
95815-4601

Practice Phone: 916-734-6700
Practice Fax:

1194838599 — MS. ANNETTE LOUISE FORTINO LCSW ACSW CAC-II
Practice Location Address:

1535 INDUSTRIAL PARK DR
HART, MI
49420-8377

Practice Phone: 517-231-6550
Practice Fax:

1821170614 — VD & SR PHARMACY LLC
Practice Location Address:

1535 PARK AVE
BALTIMORE, MD
21217-4280

Practice Phone: 410-225-0800
Practice Fax: 410-523-3434

1467523217 — DR. BRENT M GREENBERG MD
Practice Location Address:

1535 PARK AVE WEST , GREENBERG RADIOLOGY IMAGING
HIGHLAND PARK, IL
60035-2240

Practice Phone: 847-831-0500
Practice Fax: 847-831-9490

Directions to “ MARY J. YANICS PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.