Yvonne Burgos, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

26917 Issued in CA

Practice address

6631 Stephens Ranch Rd
La Verne, CA 91750-1146

Phone

(909) 593-1082

NPI assigned

Sep 24, 2009

Last updated

Aug 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Burgos Psychological Services

  • Mental Health Counselor
  • Fontana, CA
  • NPI 1417795782
  NPD Authorized official
• Advanced Psychological Associates & Wellness Center PC

  • Community/Behavioral Health Agency
  • Rancho Cucamonga, CA
  • NPI 1417262619
  NPD (past)
• Los Angeles County Department of Mental Health

  dba Specialized Foster Care Glendora

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glendora, CA
  • NPI 1831338193
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1093049918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1025",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917620025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6631 STEPHENS RANCH RD",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917501146",
            "telephone_number": "909-593-1082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8656 Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917304616",
            "country_code": "US",
            "telephone_number": "909-451-9904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10722 Arrow Rte Ste 314",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917304811",
            "country_code": "US",
            "telephone_number": "909-367-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "26917",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• C&L Medical Group Inc.
• Jennifer Hulsha Cabanas

• Psychologist in La Verne, CA
• Providers in La Verne, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.