Active NPI
Yvette Rico, PSYD
- Clinical Psychologist
- Burlingame, CA
National Provider Identifier
1508417452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33627
- Practice address
- 877 Mahler Rd Ste 160
Burlingame, CA 94010-1640 - Phone
- (650) 667-7193
- NPI assigned
- Sep 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 33627 | CA | Primary |
Addresses
Primary practice location
877 Mahler Rd Ste 160
Burlingame, CA 94010-1640
Mailing address
PO Box 981
Sebastopol, CA 95473-0981
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banyan Psychology Inc. | Clinical | Past | Accepting new patients |
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.
-
dba Banyan Behavioral Health
- Clinical Psychologist
- Burlingame, CA
- NPI 1386336501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1508417452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 981",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954730981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 MAHLER RD STE 160",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940101640",
"telephone_number": "650-667-7193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICO",
"first_name": "YVETTE",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "33627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Kathleen Richter-Stauffer
- Nell B. Riley, PH.D.
- Mary Rippel, MS, CCC-SLP
- Rise Within Therapy Studio Licensed Clinical Social Worker Services Inc
- Melanie Marie Rivas
- Veronica Rivera
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.