Active NPI
Lenora Mimi Yuen, PH.D.
- Clinical Psychologist
- Palo Alto, CA
National Provider Identifier
1164627873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY7330
- Practice address
- 935 Middlefield Rd
Palo Alto, CA 94301-3339 - Phone
- (650) 322-1688
- NPI assigned
- Jun 21, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY7330 | CA | Primary |
Addresses
Primary practice location
935 Middlefield Rd
Palo Alto, CA 94301-3339
Mailing address
935 Middlefield Rd
Palo Alto, CA 94301-3339
Phone (650) 322-1688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 770111030 | Other | CA | TAX ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2017 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY7330 | CA | MD | Clinical Psychologist |
| 7330 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250812800000",
"number": "1164627873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 MIDDLEFIELD RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943013339",
"telephone_number": "650-322-1688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 MIDDLEFIELD RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943013339",
"telephone_number": "650-322-1688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUEN",
"first_name": "LENORA",
"middle_name": "MIMI",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-21",
"last_updated": "2009-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY7330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "770111030",
"state": "CA"
}
],
"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 Aug 21, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.