Individual provider Active NPI

Kia Yang, PSY.D

  • Clinical Psychologist
  • Kerman, CA
National Provider Identifier
1912629924
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY33310 Issued in CA
Practice address
702 South Eighth Street
Kerman, CA 93630-1803
Phone
(559) 364-2975
NPI assigned
Sep 15, 2022
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY33310 CA Primary

Addresses

Primary practice location

702 South Eighth Street
Kerman, CA 93630-1803

Mailing address

PO Box 737
San Joaquin, CA 93660-0737
Phone (559) 364-2975

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
I20221003000784 CA Practitioner - Clinical Psychologist 0143606954 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY33310CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Department of State Hospitals CurrentSince Sep 1, 2022 Accepting new patients
Department of State Hospitals CurrentSince Sep 1, 2022 Accepting new patients
Valley Health Team Inc CurrentSince May 28, 2023 Accepting new patients
Mindful Solutions LLC Clinical CurrentSince Oct 1, 2025 Accepting new patients
Valley Health Team, Inc PastSince May 28, 2023 Accepting new patients

Locations

5150 N 6th St
Ste 174D
Fresno, CA 93710
Phone (559) 620-1876

449 S Madera Ave
Kerman, CA 93630
Phone (559) 364-2970

702 S 8th St
Kerman, CA 93630
Phone (559) 364-2970

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

Interoperability endpoints

  • Direct secure messaging: kia.yang.p4@direct.vht.nextgenshare.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1912629924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 737",
            "city": "SAN JOAQUIN",
            "state": "CA",
            "postal_code": "936600737",
            "telephone_number": "559-364-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SOUTH EIGHTH STREET",
            "city": "KERMAN",
            "state": "CA",
            "postal_code": "936301803",
            "telephone_number": "559-364-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "KIA",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY33310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerman, CA

Sources for this page

Verify at the official NPI Registry.