Active NPI
Paul Yehuda Klein, PSY.D.
- Psychologist
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY19125
- 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, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY 19125 | Other | CA | CLINICAL 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY19125 | CA | MD | Psychologist |
| 19125 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Medical Group, Inc. | Current | Accepting new patients | |
| One Medical Group, Inc | Current | 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.
-
dba One Medical Group
- Family Medicine Physician
- San Francisco, CA
- NPI 1467781641
-
- Family Medicine Physician
- Tigard, OR
- NPI 1891521134
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.