Provider Demographics
NPI:1699231282
Name:YU, YIMIN (PSYD)
Entity type:Individual
Prefix:DR
First Name:YIMIN
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6620 VIA DEL ORO
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95119-1392
Mailing Address - Country:US
Mailing Address - Phone:408-360-2399
Mailing Address - Fax:
Practice Address - Street 1:6620 VIA DEL ORO
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1392
Practice Address - Country:US
Practice Address - Phone:408-360-2399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-19
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY30425103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist