Unbridled Chances Psychotherapy Professional Corporation

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

UNBRIDLED CHANCES PSYCHOTHERAPY PROFESSIONAL CORPORATION

Practice address

314 S Prospect Ave Apt 3
Redondo Beach, CA 90277-3552

Phone

(310) 930-0967

NPI assigned

Oct 2, 2024

Organization subpart

No

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

Authorized official

Name

Kristen Yule, PHDNPI 1659008837

Title

Owner/President

Phone

(310) 930-0967

Specialties & licenses 1

Addresses

Other names 1

• Unbridled Chances Psychotherapy Corporation Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Anne Yule, PHD

  • Clinical Child & Adolescent Psychologist
  • Rolling Hills Estates, CA
  • NPI 1659008837
  NPD Authorized official

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1790503209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 N ST STE N",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165712",
            "telephone_number": "310-929-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S PROSPECT AVE APT 3",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773552",
            "telephone_number": "310-930-0967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Lariat Ln",
            "address_purpose": "LOCATION",
            "city": "Rolling Hills Estates",
            "state": "CA",
            "postal_code": "902744119",
            "country_code": "US",
            "telephone_number": "310-930-0967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNBRIDLED CHANCES PSYCHOTHERAPY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "YULE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "310-930-0967",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unbridled Chances Psychotherapy Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lyssa Lynn Uchida, MT
• Mahendra C Udani, MD
• Bernard L Ullman, MD
• Sanusi Hambali Umar, M.D.
• Sherilynn Umayam
• Sokmom Lim Ung, FNP
• Destiny Uriarte
• Jimmy Urizar
• Andrea Urrutia
• Usrc South Bay, LLC

• Clinical Child & Adolescent Psychologist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.