DR. ERIC SHANE YELLIN PSY.D.
NPI 1821521006
Psychologist in Brooklyn, NY

Active since April 05, 2017PECOS Enrolled
1545 ATLANTIC AVE, BROOKLYN, NY 11213(718) 613-4983 Get Directions Write a Review

NPPES record last updated: April 7, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Eric Shane Yellin Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIC SHANE YELLIN PSY.D. (NPI 1821521006) is an individual psychologist in Brooklyn, New York, licensed in New York (021859) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821521006
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. ERIC SHANE YELLINCredential: PSY.D.
Location Address1545 ATLANTIC AVEBrooklyn, NY 11213-1122
Mailing Address1545 Atlantic AveBrooklyn, NY 11213
Sole ProprietorYes
Enumeration DateApril 5, 2017
Last NPPES UpdateApril 7, 2017
✔ NPI 1821521006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NY · 021859
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 021859 (NY)
1545 ATLANTIC AVE, Brooklyn, NY 11213

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eric Shane Yellin Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Eric Yellin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adult Day Care
1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1545 ATLANTIC AVE, INTERFAITH MEDICAL CENTER
BROOKLYN, NY 11213
Student in an Organized Health Care Education/Training Program
1545 ATLANTIC AVE, DEPARTMENT OF MEDICINE
BROOKLYN, NY 11213
Student in an Organized Health Care Education/Training Program
1545 ATLANTIC AVE
BROOKLYN, NY 11213
Psychiatry & Neurology (Psychiatry)
1545 ATLANTIC AVE
BROOKLYN, NY 11213
Radiology (Diagnostic Radiology)
1545 ATLANTIC AVE
BROOKLYN, NY 11213
Psychiatry & Neurology (Psychiatry)
1545 ATLANTIC AVE
BROOKLYN, NY 11213
Student in an Organized Health Care Education/Training Program
1545 ATLANTIC AVE
BROOKLYN, NY 11213
Student in an Organized Health Care Education/Training Program
1545 ATLANTIC AVE
BROOKLYN, NY 11213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Yellin's NPI number?

The NPI number for Eric Yellin is 1821521006. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Eric Yellin located?

Eric Yellin practices at 1545 Atlantic Ave, Brooklyn, NY 11213. The listed phone number is (718) 613-4983.

What is Eric Yellin's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Eric Yellin enrolled in Medicare?

Yes. Eric Yellin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eric Yellin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Yellin reassigns Medicare benefits to Sun River Health Inc (Bronx, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eric Yellin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eric Yellin was last updated on April 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.