Bruce Yanofsky PHD, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRUCE YANOFSKY PHD, INC.

Practice address

224 Landis Ave
Chula Vista, CA 91910-2609

Phone

(619) 730-9603

Fax

(619) 730-9603

NPI assigned

Sep 15, 2017

Organization subpart

No

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

Authorized official

Name

Juan F. Madrazo Torres, PSY.D.NPI 1831353366

Title

Authorized Rrepresentative

Phone

(619) 730-9603

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Juan Fernando Madrazo Torres

  • Clinical Psychologist
  • Chula Vista, CA
  • NPI 1831353366
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1861911430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LANE AVE STE 125",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143503",
            "telephone_number": "619-240-3377",
            "fax_number": "619-240-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 LANDIS AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102609",
            "telephone_number": "619-730-9603",
            "fax_number": "619-730-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE YANOFSKY PHD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "MADRAZO TORRES",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "AUTHORIZED RREPRESENTATIVE",
        "authorized_official_telephone_number": "619-730-9603",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Edward Brown, RPH
• Shelli Brown, LPC
• Angelina Guerrero Browning, DPT
• Steven Brozinsky, M.D.
• Owen Mel Casem Bruan, RPT
• Andrew R. Bruggeman, M.D.
• Mariana Brunnett-Lazarte, LMFT
• Chelsey Bruns
• Haley Ann Brunson
• David W Brunsting, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.