Individual provider Active NPI

Valencia Youkhanna, B.A.

  • Psychologist
  • Lake Elsinore, CA
National Provider Identifier
1801381132
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
2499 E Lakeshore Dr
Lake Elsinore, CA 92530-4411
Phone
(951) 471-4200
NPI assigned
Jun 28, 2018
Reactivated
Dec 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

2499 E Lakeshore Dr
Lake Elsinore, CA 92530-4411

Mailing address

1525 Cedarhill Dr
Riverside, CA 92507-5973
Phone (619) 672-1465

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
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1801381132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 CEDARHILL DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075973",
            "telephone_number": "619-672-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 E LAKESHORE DR",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304411",
            "telephone_number": "951-471-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUKHANNA",
        "first_name": "VALENCIA",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2025-12-16",
        "certification_date": "2020-07-07",
        "deactivation_date": "2020-07-07",
        "reactivation_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.