Individual provider Active NPI

Juliana Amelia Ybarra, PSY.D.

  • Psychologist
  • Oakland, CA
National Provider Identifier
1285944777
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY28799 Issued in CA
Practice address
5627 Telegraph Ave # 147
Oakland, CA 94609-1707
Phone
(510) 306-4677
NPI assigned
Oct 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY28799 CA Primary

Addresses

Primary practice location

5627 Telegraph Ave # 147
Oakland, CA 94609-1707

Mailing address

5627 Telegraph Ave # 147
Oakland, CA 94609-1707

Other practice location 1

1801 Vicente St
San Francisco, CA 94116-2923
Phone (510) 306-4677

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY28799CAMDPsychologist
28799CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Casa Alma Mental Health a Psychological Corporation CurrentSince Mar 12, 2024 Accepting new patients

Locations

5627 Telegraph Ave
#147
Oakland, CA 94609
Phone (510) 306-4677

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": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1285944777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5627 TELEGRAPH AVE # 147",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5627 TELEGRAPH AVE # 147",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091707",
            "telephone_number": "510-306-4677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Vicente St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941162923",
            "country_code": "US",
            "telephone_number": "510-306-4677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YBARRA",
        "first_name": "JULIANA",
        "middle_name": "AMELIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY28799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.