{"npi":"1295077949","type":"NPI-2","status":"active","name":{"display":"Steven Yellin Clinical Psychologist PC","other":[],"organization_name":"STEVEN YELLIN CLINICAL PSYCHOLOGIST PC","authorised_official":"Steven Yellin"},"specialty":{"primary_taxonomy":"103T00000X","primary_taxonomy_description":"Psychologist","slug":"psychologist","schema_org_specialty":null,"all":[{"code":"103T00000X","description":"Psychologist","primary":true,"state":"NY","license":"09453"}]},"addresses":[{"purpose":"LOCATION","street_1":"333 GLEN HEAD RD","city":"GLEN HEAD","state":"NY","postal_code":"115451947","country_code":"US","street_2":"SUITE 50","phone":"5166748403","fax":"6315430719"},{"purpose":"MAILING","street_1":"333 GLEN HEAD RD","city":"GLEN HEAD","state":"NY","postal_code":"115451947","country_code":"US","street_2":"SUITE 50","phone":"6319354340","fax":"6315430719"}],"license":{"state":"NY","number":"09453"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20130503000007","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NY","pac_id":"6608013065"}]},"enumeration_date":"2013-03-20","last_updated":"2024-08-12","_meta":{"source":"NPPES","snapshot_date":"2024-08-12","doc_url":"https://findmynpi.com/api"}}