Active NPI
Yvette Barraza-Reyes, PHD
- Psychologist
- La Habra, CA
National Provider Identifier
1922027465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 121 W Whittier Blvd
Suite 23
La Habra, CA 90631-3893 - Phone
- (562) 697-9796
- Fax
- (562) 697-9787
- NPI assigned
- Jul 18, 2006
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY20336 | CA | |
| Counseling Psychologist | 103TC1900X | PSY20336 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY20336 | CA | |
| Psychologist | 103T00000X | PSY20336 | CA | |
| Psychologist | 103T00000X | Primary | ||
| Counseling Psychologist | 103TC1900X |
Addresses
Primary practice location
121 W Whittier Blvd
Suite 23
La Habra, CA 90631-3893
Mailing address
121 W Whittier Blvd
Suite 23
La Habra, CA 90631-3893
Phone (562) 697-9796
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY20336 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Barraza-Reyes, PHD, a Psychological Corporation | Counseling | Past | Accepting new patients |
| Tammy a Ouellette Psy.D. Apc | Psychologist | 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.
-
- Counseling Psychologist
- La Habra, CA
- NPI 1437455425
-
- Psychologist
- Fullerton, CA
- NPI 1528246394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416787200000",
"number": "1922027465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 W WHITTIER BLVD",
"address_2": "SUITE 23",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906313893",
"telephone_number": "562-697-9796",
"fax_number": "562-697-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 W WHITTIER BLVD",
"address_2": "SUITE 23",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906313893",
"telephone_number": "562-697-9796",
"fax_number": "562-697-9787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRAZA-REYES",
"first_name": "YVETTE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2014-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY20336",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY20336",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY20336",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY20336",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.