Lawrence Jonas Yabroff, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY9371 Issued in CA

Practice address

2340 Ward St
102
Berkeley, CA 94705-1124

Phone

(510) 649-0640

Fax

(510) 549-2125

NPI assigned

Apr 28, 2006

Last updated

Dec 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1780641241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 WARD ST",
            "address_2": "102",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051124",
            "telephone_number": "510-649-0640",
            "fax_number": "510-549-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 WARD ST",
            "address_2": "102",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051124",
            "telephone_number": "510-649-0640",
            "fax_number": "510-549-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YABROFF",
        "first_name": "LAWRENCE",
        "middle_name": "JONAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY9371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY093710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Takeyah Wyche
• Jennifer Wydro, PSY.D.
• Jiwon Helen Wyman, M.D.
• Jenny Xing
• Wenxu Xu, MA
• Deborah M Yaffe, MFT
• Janet Yamada Soto, PT
• Ami Yamamoto
• Leo Yamasato
• Jia X Yang

• Psychologist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.