Individual provider Active NPI

Youssef Nakhla, PSYD

  • Clinical Psychologist
  • Fair Oaks, CA
National Provider Identifier
1487482642
Registry record updated Oct 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36042 Issued in CA
Practice address
8146 Greenback LN Ste 202B
Fair Oaks, CA 95628-2540
Phone
(916) 360-0075
NPI assigned
Jul 22, 2024
Last updated
Oct 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 36042 CA Primary

Addresses

Primary practice location

8146 Greenback LN Ste 202B
Fair Oaks, CA 95628-2540

Mailing address

705 E Bidwell St Ste 2-288
Folsom, CA 95630-3315
Phone (916) 360-0075

Other practice location 1

1430 Blue Oaks Blvd Ste 120
Roseville, CA 95747-5156
Phone (916) 360-0075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251208004054 CA Practitioner - Clinical Psychologist 6709370745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 Macarthur Blvd
Suite 600 East Tower
Newport Beach, CA 92660-2517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36042CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Youssef Nakhla PSYD a Professional Psychological Corporation CurrentSince Oct 5, 2025 Accepting new patients

Locations

705 E Bidwell St
Ste 2288
Folsom, CA 95630
Phone (714) 475-8289

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791072000000",
    "number": "1487482642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E BIDWELL ST STE 2-288",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303315",
            "telephone_number": "916-360-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8146 GREENBACK LN STE 202B",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956282540",
            "telephone_number": "916-360-0075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Blue Oaks Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "957475156",
            "country_code": "US",
            "telephone_number": "916-360-0075",
            "fax_number": "279-239-1133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAKHLA",
        "first_name": "YOUSSEF",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-22",
        "last_updated": "2026-10-04",
        "certification_date": "2026-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "36042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

Verify at the official NPI Registry.