Individual provider Active NPI

Joel O'Beso, PSY.D.

  • Clinical Psychologist
  • San Mateo, CA
National Provider Identifier
1154566438
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY34448 Issued in CA
Practice address
1900 Ofarrell St Ste 100
San Mateo, CA 94403-1387
Phone
(650) 780-0575
Fax
(650) 780-0587
NPI assigned
Dec 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY34448 CA Primary

Addresses

Primary practice location

1900 Ofarrell St Ste 100
San Mateo, CA 94403-1387

Mailing address

1900 Ofarrell St Ste 100
San Mateo, CA 94403-1387
Phone (650) 780-0575

Other names 1

  • Dr. Joel Obeso-Maldonado Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY34448CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Medical Group Past Accepting new patients

Organizations & group practices 1

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": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1154566438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 OFARRELL ST STE 100",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031387",
            "telephone_number": "650-780-0575",
            "fax_number": "650-780-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 OFARRELL ST STE 100",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031387",
            "telephone_number": "650-780-0575",
            "fax_number": "650-780-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BESO",
        "first_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-15",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY34448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOEL",
            "last_name": "OBESO-MALDONADO",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2026; 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.