Active NPI
Judith Adele Yob, PHD
- Psychologist
- Palo Alto, CA
National Provider Identifier
1104922145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY18071
- Practice address
- 4153 El Camino Way Ste a
Palo Alto, CA 94306-4034 - Phone
- (650) 521-7619
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PSY18071 | CA | Primary |
Addresses
Primary practice location
4153 El Camino Way Ste a
Palo Alto, CA 94306-4034
Mailing address
PO Box 3554
Los Altos, CA 94024-0554
Phone (650) 521-7619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPL180710 | Other | PPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150716000759 | CA | Practitioner - Clinical Psychologist | 8527048610 | Practice locations: Sunnyvale, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
505 W Olive Ave
Sunnyvale, CA 94086-7649
Phone (650) 521-7619
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY18071 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychologicare | Past | Accepting new patients | |
| Health Psychology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Sunnyvale, CA
- NPI 1770958779
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1376873588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264377600000",
"number": "1104922145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3554",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940240554",
"telephone_number": "650-521-7619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4153 EL CAMINO WAY STE A",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943064034",
"telephone_number": "650-521-7619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOB",
"first_name": "JUDITH",
"middle_name": "ADELE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2010-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY18071",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPIN",
"identifier": "OPL180710",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.