Active NPI
Yushen Yang, PSY.D.
- Clinical Psychologist
- Rosemead, CA
National Provider Identifier
1811150600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY27650
- Practice address
- 9353 Valley Blvd
Rosemead, CA 91770-1934 - Phone
- (626) 287-2988
- NPI assigned
- Jul 2, 2008
- Last updated
- Oct 14, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Psychologist | 103TC0700X | PSY27650 | CA | Primary |
| Rehabilitation Counselor | 225C00000X | NU |
Addresses
Primary practice location
9353 Valley Blvd
Rosemead, CA 91770-1934
Mailing address
5511 Hallowell Ave
Arcadia, CA 91007-8418
Phone (626) 715-2171
Other names 1
- Dr. Ethan Yang
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 |
|---|---|---|---|
| PSY27650 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444780800000",
"number": "1811150600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5511 HALLOWELL AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910078418",
"telephone_number": "626-715-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9353 VALLEY BLVD",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917701934",
"telephone_number": "626-287-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "YUSHEN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-02",
"last_updated": "2015-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY27650",
"primary": true
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ETHAN",
"last_name": "YANG",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rosemead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.