Yurivia Cervantes-Manzo, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY29786 Issued in CA

Practice address

530 S Lake Ave # 595
Pasadena, CA 91101-3515

Phone

(818) 235-7994

NPI assigned

Jul 11, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Cervantes-Manzo Psychological Services, PC

  • Community/Behavioral Health Agency
  • Pasadena, CA
  • NPI 1467207845
  NPD Authorized official

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1205191582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S LAKE AVE # 595",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S LAKE AVE # 595",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013515",
            "telephone_number": "818-235-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES-MANZO",
        "first_name": "YURIVIA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Liset Cernas-Diaz
• Claire Cerniglia, RN, IBCLC
• Susana Cerrito
• Alma Cerros
• Cervantes-Manzo Psychological Services, PC
• Angel Cervantes
• Daisy Cervantes
• Dayana Cervantes, MFT
• Jocelyn Marissa Cervantes
• Julie Cervantes

• Clinical Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.