Active NPI
Robert Yeilding
- Clinical Psychologist
- Newport Beach, CA
National Provider Identifier
1063643534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 25445
- Practice address
- 1500 Quail St Ste 250
Newport Beach, CA 92660-2734 - Phone
- (949) 939-0259
- NPI assigned
- Aug 1, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | 25445 | CA | Primary |
Addresses
Primary practice location
1500 Quail St Ste 250
Newport Beach, CA 92660-2734
Mailing address
1605 Sandalwood St
Costa Mesa, CA 92626-3720
Phone (949) 939-0259
Other practice location 1
1527 4th St Fl 2
Santa Monica, CA 90401-2332
Phone (949) 939-0259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25445 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JLM Psychological Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Newport Beach, CA
- NPI 1003482423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1063643534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 SANDALWOOD ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926263720",
"telephone_number": "949-939-0259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 QUAIL ST STE 250",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602734",
"telephone_number": "949-939-0259"
}
],
"practiceLocations": [
{
"address_1": "1527 4th St Fl 2",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904012332",
"country_code": "US",
"telephone_number": "949-939-0259",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YEILDING",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-01",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "25445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.