Jenna Yates, is a
Psychologist - Clinical based in Springfield, Illinois. Jenna Yates is licensed to practice in Illinois (license number 071.009981) and her current practice location is
3233 Mathers Rd Ste A, Springfield, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 899-5412.
NPI number for Jenna Yates is 1013412931 and her current mailing address is 3233 Mathers Rd Ste A, Springfield, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013412931.
Healthcare Provider's Profile
Full Name | Jenna Yates |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 3233 Mathers Rd Ste A, Springfield, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013412931
- Provider Enumeration Date: 03/25/2018
- Last Update Date: 06/22/2022
Medical Identifiers
Medical identifiers for Jenna Yates such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013412931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 180.011471 (Illinois) | Secondary |
103TC0700X | Psychologist - Clinical | 071.009981 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jenna Yates is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jenna Yates, 3233 Mathers Rd Ste A, Springfield, IL 62711-7900 Ph: (217) 414-2064 | Jenna Yates, 3233 Mathers Rd Ste A, Springfield, IL 62711-7900 Ph: (217) 899-5412 |
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