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NPI Code Detail

MEDICARE: YANEISY YUMART PSY.D

MEDICARE:   YANEISY  YUMART  PSY.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
1103TC0700XClinical PsychologistPY11376FL
2103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942952684
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANEISY YUMART PSY.D
Provider Business Mailing Address
First Line : 5957 FOREST HILL BLVD APT 8
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33415-5578
Country : US
Telephone Number : 786-234-2949
Fax Number :
Provider Business Practice Location Address
First Line : 420 S STATE ROAD 7 STE 106
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-4304
Country : US
Telephone Number : 561-568-9367
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2022
Last Update Date : 10/31/2025

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