Yetianyi Yu, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33787 Issued in CA

Practice address

4320 S Higuera St # 9
San Luis Obispo, CA 93401-7702

Phone

(530) 601-3258

NPI assigned

Feb 10, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1891492757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 S HIGUERA ST # 9",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017702",
            "telephone_number": "530-601-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 S HIGUERA ST # 9",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017702",
            "telephone_number": "530-601-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "YETIANYI",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "33787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eunha You, DDS
• Allison Young
• Kristin Youngberg
• Susan Youngdale, SLP-M.A.
• Youu-Ness, Inc
• Eugene Yuan, D.D.S.
• Amy Lynn Zachary, NP
• Karen N Zalesny, RPH
• Jennifer Liz Zambo, N.P.
• Meena Zareh, MD

• Clinical Psychologist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.