Individual provider Active NPI

Yvonne O'Brien

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1952840118
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
113881 Issued in CA
Practice address
2170 The Alameda # 104
San Jose, CA 95126-1131
Phone
(831) 515-9951
Fax
(831) 515-3404
NPI assigned
Feb 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 113881 CA Primary

Addresses

Primary practice location

2170 The Alameda # 104
San Jose, CA 95126-1131

Mailing address

105 Rutherford CT
Aptos, CA 95003-4847
Phone (831) 818-7153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 6, 2024 through Aug 6, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
113881CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life in Motion Therapy Marriage & Family Therapist CurrentSince Apr 20, 2025 Accepting new patients

Locations

2170 The Alameda
#104
San Jose, CA 95126
Phone (415) 483-5420

Organizations & group practices 1

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": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1952840118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RUTHERFORD CT",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034847",
            "telephone_number": "831-818-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 THE ALAMEDA # 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261131",
            "telephone_number": "831-515-9951",
            "fax_number": "831-515-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "YVONNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.