Individual provider Active NPI

Yvette Barraza-Reyes, PHD

  • Psychologist
  • La Habra, CA
National Provider Identifier
1922027465
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PSY20336CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.