Provider Demographics
NPI:1023266384
Name:YANG, CYNTHIA CHEN (MD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:CHEN
Last Name:YANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 BLACKSTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-4800
Mailing Address - Country:US
Mailing Address - Phone:401-455-6373
Mailing Address - Fax:401-455-6497
Practice Address - Street 1:345 BLACKSTONE BLVD
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-4800
Practice Address - Country:US
Practice Address - Phone:401-455-6373
Practice Address - Fax:401-455-6497
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2580722084P0800X
NC2019-003682084P0800X
IN01082574A2084P0800X
NY3004362084P0800X
PAMD4684142084P0800X
CT640852084P0800X
MDD880772084P0800X
MN662782084P0800X
GA840112084P0800X
RIMD136832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry