Active NPI
Meng Ju Yang, PSYD
- Psychologist
- San Jose, CA
National Provider Identifier
1063942878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY33008
- Practice address
- 181 E Tasman Dr Ste 20
PMB 210
San Jose, CA 95134-3389 - Phone
- (408) 351-4051
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY33008 | CA | Primary |
Addresses
Primary practice location
181 E Tasman Dr Ste 20
PMB 210
San Jose, CA 95134-3389
Mailing address
181 E Tasman Dr Ste 20
San Jose, CA 95134-3389
Phone (408) 351-4051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 20, 2024 through Feb 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY33008 | CA | MD | Psychologist |
| 33008 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1063942878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 E TASMAN DR STE 20",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951343389",
"telephone_number": "408-351-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 E TASMAN DR STE 20",
"address_2": "PMB 210",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951343389",
"telephone_number": "408-351-4051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "MENG JU",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY33008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.