Individual provider Active NPI

Yuko Ouchi, PSYD

  • Psychologist
  • Covina, CA
National Provider Identifier
1821029703
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY22434 Issued in CA
Practice address
1274 Center Court Dr
#112
Covina, CA 91724-3668
Phone
(626) 422-3032
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY22434 CA Primary

Addresses

Primary practice location

1274 Center Court Dr
#112
Covina, CA 91724-3668

Mailing address

1430 S Gland Ave
#376
Glendora, CA 91740-0000
Phone (626) 422-3032

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131125000314 CA Practitioner - Clinical Psychologist 5395971279 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY22434CAMDPsychologist
22434CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Psychologist CurrentSince Apr 27, 2023 Accepting new patients
Mindful Lemon Marriage and Family Therapy, Inc CurrentSince Jun 27, 2023 Accepting new patients
TML Behavioral Health Group LLC CurrentSince Apr 21, 2024 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

21125 Centre Pointe Pkwy
Santa Clarita, CA 91350
Phone (554) 353-8018

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

106 Langtree Village Dr
Ste 301
Mooresville, NC 28117
Phone (704) 457-1368

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1821029703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 S GLAND AVE",
            "address_2": "#376",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917400000",
            "telephone_number": "626-422-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 CENTER COURT DR",
            "address_2": "#112",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243668",
            "telephone_number": "626-422-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUCHI",
        "first_name": "YUKO",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY22434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.