Individual provider Active NPI

Calvin Yang, PSYD

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1538828561
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSB94026352 Issued in CA
Practice address
1000 Wilshire Blvd # 240
Los Angeles, CA 90017-2457
Phone
(424) 201-1600
NPI assigned
Dec 17, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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 PSB94026352 CA Primary

Addresses

Primary practice location

1000 Wilshire Blvd # 240
Los Angeles, CA 90017-2457

Mailing address

2601 Airport Dr Ste 135
Torrance, CA 90505-6141
Phone (424) 337-0370

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

State licenses

LicenseStateTypeSpecialty
PSB94026352CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Institute for Psychotherapy and Assessment, Inc Clinical CurrentSince Dec 21, 2021 Accepting new patients

Locations

1000 Wilshire Blvd
Ste 240
Los Angeles, CA 90017
Phone (424) 201-1600

2601 Airport Dr
Ste 135
Torrance, CA 90505
Phone (424) 201-1600

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": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1538828561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 AIRPORT DR STE 135",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056141",
            "telephone_number": "424-337-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WILSHIRE BLVD # 240",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172457",
            "telephone_number": "424-201-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "CALVIN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSB94026352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.