Active NPI
Mina Youssef
- Psychiatry Physician
- Redlands, CA
National Provider Identifier
1609168897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A122205
- Practice address
- 26325 Snowden Ave
Redlands, CA 92374 - Phone
- (626) 482-8384
- NPI assigned
- May 6, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2084P0800X | CA | |
| Psychiatry Physician | 2084P0800X | A122205 | CA | Primary |
Addresses
Primary practice location
26325 Snowden Ave
Redlands, CA 92374
Mailing address
26325 Snowden Ave
Redlands, CA 92374-2877
Phone (626) 482-8384
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
| License | State | Type | Specialty |
|---|---|---|---|
| A122205 | CA | MD | Psychiatry Physician |
| 2084P0800X | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529366400000",
"number": "1609168897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26325 SNOWDEN AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742877",
"telephone_number": "626-482-8384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26325 SNOWDEN AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "92374",
"telephone_number": "626-482-8384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUSSEF",
"first_name": "MINA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-06",
"last_updated": "2018-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "2084P0800X",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A122205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.