MEDICARE: ELLEN YIN M.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	2084P0800X	Psychiatry Physician	D0107329	MD

General Provider Information

NPI Number	:	1649911868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLEN YIN M.D.

Provider Business Mailing Address
First Line	:	66 E MAIN ST
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-5008
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	66 E MAIN ST
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-5008
Country	:	US
Telephone Number	:	833-351-8255
Fax Number	:

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

Provider Enumeration Date	:	04/03/2022
Last Update Date	:	06/22/2026

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