Individual provider Active NPI

Angela Sun-Hee Yi, PH.D.

  • Clinical Neuropsychologist
  • Claremont, CA
National Provider Identifier
1962739821
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY26281 Issued in CA
Practice address
1420 N Claremont Blvd
Suite 209C
Claremont, CA 91711-3528
Phone
(909) 480-8065
Fax
(909) 626-8222
NPI assigned
Nov 12, 2009
Last updated
Sep 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY26281 CA Primary

Addresses

Primary practice location

1420 N Claremont Blvd
Suite 209C
Claremont, CA 91711-3528

Mailing address

1420 N Claremont Blvd
Suite 209C
Claremont, CA 91711-3528
Phone (909) 480-8065

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
I20151005000369 CA Practitioner - Clinical Psychologist 7618019852 Practice locations: Chatsworth, CA; Claremont, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1420 N Claremont Blvd
Claremont, CA 91711-3528
Phone (909) 480-8065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY26281CAMDClinical Neuropsychologist

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1962739821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N CLAREMONT BLVD",
            "address_2": "SUITE 209C",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113528",
            "telephone_number": "909-480-8065",
            "fax_number": "909-626-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N CLAREMONT BLVD",
            "address_2": "SUITE 209C",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113528",
            "telephone_number": "909-480-8065",
            "fax_number": "909-626-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "ANGELA",
        "middle_name": "SUN-HEE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY26281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

Verify at the official NPI Registry.