Yu Pan, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY23449 Issued in CA

Practice address

943 S Atlantic Blvd Ste 221
Monterey Park, CA 91754-1066

Phone

(626) 284-4202

Fax

(626) 284-4202

NPI assigned

Aug 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jocelyn Y. Pan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Affiliated Psychologists & Counselors, Inc.

  • Psychologist
  • Cupertino, CA
  • NPI 1598877201
  NPD (past)

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

{
    "created_epoch": "1187481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1174716641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39470 ALBANY CMN APT D",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382390",
            "telephone_number": "626-315-6083",
            "fax_number": "626-284-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 S ATLANTIC BLVD STE 221",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541066",
            "telephone_number": "626-284-4202",
            "fax_number": "626-284-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "YU",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-19",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOCELYN",
            "last_name": "PAN",
            "middle_name": "Y.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Palomino Residential Care Inc.
• Palomino Residential Care Inc.
• Palu Inc
• Silvia Pan, L.AC
• Tsueyhwa Pan, LCSW
• Monthiraporn Pananusorn, D.C.
• Katie Ruth Pang, M.D.
• Winnie Pang, M.D.
• Ivy Panoy, NP
• Alfonso Parga

• All providers in Monterey Park, CA
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.