Active NPI
Judy Yang, LP
- Counseling Psychologist
- Golden Valley, MN
National Provider Identifier
1902364136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP6385
- Practice address
- 1405 Lilac Dr N Ste 200
Golden Valley, MN 55422-4546 - Phone
- (763) 545-7708
- Fax
- (763) 545-3479
- NPI assigned
- Mar 6, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP6385 | MN | Primary |
Addresses
Primary practice location
1405 Lilac Dr N Ste 200
Golden Valley, MN 55422-4546
Mailing address
1405 Lilac Dr N Ste 200
Golden Valley, MN 55422-4546
Phone (763) 545-7708
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 |
|---|---|---|---|
| LP6385 | MN | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodworth Psychological Services, LLC | Past | Accepting new patients | |
| Learning and Language Specialists, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Neuropsychologist
- Minneapolis, MN
- NPI 1912022336
-
- Clinical Psychologist
- Golden Valley, MN
- NPI 1699289926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1902364136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 LILAC DR N STE 200",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224546",
"telephone_number": "763-545-7708",
"fax_number": "763-545-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 LILAC DR N STE 200",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224546",
"telephone_number": "763-545-7708",
"fax_number": "763-545-3479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "JUDY",
"credential": "LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-06",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP6385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.