Individual provider Active NPI

Shing Yang, PSYD

  • Psychologist
  • Fresno, CA
National Provider Identifier
1578139119
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
32490 Issued in CA
Practice address
3447 W Shaw Ave
Fresno, CA 93711-3251
Phone
(559) 512-0520
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 32490 CA Primary

Addresses

Primary practice location

3447 W Shaw Ave
Fresno, CA 93711-3251

Mailing address

PO Box 2863
Fresno, CA 93745-2863

Other practice location 1

4001 King Ave
Corcoran, CA 93212-9611
Phone (559) 992-8800 ext. 7251

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
32490CAMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1578139119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2863",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937452863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3447 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113251",
            "telephone_number": "559-512-0520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 King Ave",
            "address_purpose": "LOCATION",
            "city": "Corcoran",
            "state": "CA",
            "postal_code": "932129611",
            "country_code": "US",
            "telephone_number": "559-992-8800 x7251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "SHING",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "32490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.