Individual provider Active NPI

Paul Yehuda Klein, PSY.D.

  • Psychologist
  • Palo Alto, CA
National Provider Identifier
1558304089
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY19125 Issued in CA
Practice address
415 Cambridge Avenue Suite 4
Palo Alto, CA 94306-1600
Phone
(650) 921-1188
Fax
(831) 338-4440
NPI assigned
Jun 13, 2006
Last updated
Jan 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY19125 CA Primary

Addresses

Primary practice location

415 Cambridge Avenue Suite 4
Palo Alto, CA 94306-1600

Mailing address

415 Cambridge Ave Ste 4
Palo Alto, CA 94306-1608
Phone (650) 921-1188

Other identifiers 1

IdentifierTypeStateIssuer
PSY 19125OtherCACLINICAL PSYCHOLOGIST #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • 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
I20230331001840 CA Practitioner - Clinical Psychologist 8325413578 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY19125CAMDPsychologist
19125CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc. CurrentSince Dec 27, 2022 Accepting new patients
One Medical Group, Inc CurrentSince Dec 27, 2022 Accepting new patients

Locations

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

2 Embarcadero Ctr
Lbby
San Francisco, CA 94111
Phone (415) 529-4566

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1558304089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CAMBRIDGE AVE STE 4",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061608",
            "telephone_number": "650-921-1188",
            "fax_number": "831-338-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CAMBRIDGE AVENUE SUITE 4",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061600",
            "telephone_number": "650-921-1188",
            "fax_number": "831-338-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "PAUL",
        "middle_name": "YEHUDA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PSYCHOLOGIST #",
            "identifier": "PSY 19125",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.