Provider Demographics
NPI:1770958779
Name:HEALTH PSYCHOLOGY
Entity type:Organization
Organization Name:HEALTH PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:ADELE
Authorized Official - Last Name:YOB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-521-7619
Mailing Address - Street 1:505 W OLIVE AVE
Mailing Address - Street 2:SUITE 747
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-7621
Mailing Address - Country:US
Mailing Address - Phone:650-521-7619
Mailing Address - Fax:650-276-7486
Practice Address - Street 1:505 W OLIVE AVE
Practice Address - Street 2:SUITE 747
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-7621
Practice Address - Country:US
Practice Address - Phone:650-521-7619
Practice Address - Fax:650-276-7486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18071103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA158858Medicare UPIN