Yuma Psychological Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

YUMA PSYCHOLOGICAL SERVICES, LLC

Practice address

242 S 1St Ave
Yuma, AZ 85364-2264

Phone

(928) 919-9521

Fax

(928) 247-9101

NPI assigned

Feb 25, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Carolina Prieto, PSY.D.

Title

Licensed Psychologist/Owner

Phone

(928) 919-9521

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Yuma Psychological Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Yuma Psychological Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yuma, AZ
  • NPI 1225789357
  NPD tax ID

Locations

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1144854563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 S 1ST AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853642264",
            "telephone_number": "928-919-9521",
            "fax_number": "928-247-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 S 1ST AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853642264",
            "telephone_number": "928-919-9521",
            "fax_number": "928-247-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUMA PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "928-919-9521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219333",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Yuma Plastic Surgery Inc
• Yuma Primary Care P L L C
• Yuma Psychological Services, LLC
• Yuma Psychological Services, LLC
• Yuma Pulmonary Associates, LLC
• Yuma Regional Cancer Center, LLC
• Yuma Regional Med Ctr Phcy

• Mental Health Clinic/Center (Including Community Mental Health Center) in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.