Active NPI
Yadi F Sweeny, PSYD
- Clinical Psychologist
- Pomona, CA
National Provider Identifier
1891966198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY18095
- Practice address
- 795 E 2ND St
Suite 4
Pomona, CA 91766-2007 - Phone
- (909) 706-3779
- Fax
- (909) 620-1048
- NPI assigned
- Mar 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY18095 | CA | Primary |
Addresses
Primary practice location
795 E 2ND St
Suite 4
Pomona, CA 91766-2007
Mailing address
309 E 2ND St
HPC 2ND Floor Suite 2255 Or 2215
Pomona, CA 91766-1854
Phone (909) 469-8332
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY 18095 | Other | CA | CA CLINICAL PSY LICENSE |
| AV772U | Other | CA | MEDICARE SO. PTAN |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1891966198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 E 2ND ST",
"address_2": "HPC 2ND FLOOR SUITE 2255 OR 2215",
"city": "POMONA",
"state": "CA",
"postal_code": "917661854",
"telephone_number": "909-469-8332",
"fax_number": "909-706-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 E 2ND ST",
"address_2": "SUITE 4",
"city": "POMONA",
"state": "CA",
"postal_code": "917662007",
"telephone_number": "909-706-3779",
"fax_number": "909-620-1048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEENY",
"first_name": "YADI",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-14",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY18095",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA CLINICAL PSY LICENSE",
"identifier": "PSY 18095",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SO. PTAN",
"identifier": "AV772U",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.