Kimberly Joanne Yudt, ACSW

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

81460 Issued in CA

Practice address

660 Hampshire Road
Suite 100
Westlake Village, CA 91361

Phone

(805) 497-0605

NPI assigned

Dec 21, 2018

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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.

• Kimberly Yudt, Licensed Clinical Social Worker Corp.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westlake Village, CA
  • NPI 1629643614
  NPD Authorized official
• Engage Treatment Program, Inc

  • Community/Behavioral Health Agency
  • Westlake Village, CA
  • NPI 1801436019
  NPD (past)

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1417429952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 HAMPSHIRE ROAD",
            "address_2": "SUITE 100",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "805-497-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 HAMPSHIRE ROAD",
            "address_2": "SUITE 100",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "805-497-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUDT",
        "first_name": "KIMBERLY",
        "middle_name": "JOANNE",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "81460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael P Yoshimura
• Ivy Young
• Kolbe Young, MS, APCC, AMFT
• Shannon Slick Young
• Iris Yu
• Chuie Yuen, M.D.
• Maksim Ryan Yukhtman, DPT
• Angelo Zabala
• Zachary Zaccaro
• Claudia Zaniolo, PT

• Behavior Analyst in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.