Yakov Barton, PHD
Individual provider Active NPI Psychologist · Berkeley, CA
NPI 1508375429 · NPPES record last updated Apr 12, 2018
Key facts
- NPI
- 1508375429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY29455 (CA)
- Practice address
- 2340 Ward St
Berkeley, CA 94705-1124 - Phone
- (510) 779-2412
- NPI assigned
- Sep 22, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2022 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY29455 | CA | MD | Psychologist |
| 29455 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY29455 | CA | Yes |
Addresses
Primary practice location
2340 Ward St
Berkeley, CA 94705-1124
Mailing address
2340 Ward St
Berkeley, CA 94705-1124
Phone (510) 779-2412
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.