Individual provider Active NPI

Judith Adele Yob, PHD

  • Psychologist
  • Palo Alto, CA
National Provider Identifier
1104922145
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY18071 Issued in CA
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

Updated by the provider on Jan 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
OPL180710OtherPPIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
PSY18071CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychologicare Past Accepting new patients
Health Psychology PastSince Jul 1, 2015 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.

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

Verify at the official NPI Registry.