YULIA KOBA ANTONIADOU PSYD
NPI 1053746297
Psychologist - Clinical in Torrance, CA

Active since September 06, 2013PECOS EnrolledAccepts Medicare Assignment
3812 SEPULVEDA BLVD, TORRANCE, CA 90505(310) 388-7770 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Yulia Koba Antoniadou Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YULIA KOBA ANTONIADOU PSYD (NPI 1053746297) is an individual clinical provider in Torrance, California, licensed in California (30144) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1053746297
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameYULIA KOBA ANTONIADOUCredential: PSYD
Location Address3812 SEPULVEDA BLVDTorrance, CA 90505-2413
Mailing Address3812 Sepulveda BlvdTorrance, CA 90505-4883 · (323) 478-8200
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 6, 2013
Last NPPES UpdateApril 22, 2020
NPPES CertifiedApril 22, 2020
NPI 1053746297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · 30144
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3812 SEPULVEDA BLVD, Torrance, CA 90505

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Yulia Koba Antoniadou Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294155545
PECOS Enrollment IDI20201026002661
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
3812 SEPULVEDA BLVD, SUITE 530
TORRANCE, CA 90505
Psychiatry & Neurology (Psychiatry)
3812 SEPULVEDA BLVD, SUITE 340
TORRANCE, CA 90505
Marriage & Family Therapist
3812 SEPULVEDA BLVD, SUITE 340
TORRANCE, CA 90505
Psychologist (Clinical)
3812 SEPULVEDA BLVD, SUITE 350
TORRANCE, CA 90505
Counselor (Mental Health)
3812 SEPULVEDA BLVD, SUITE 520
TORRANCE, CA 90505
Social Worker (Clinical)
3812 SEPULVEDA BLVD, SUITE 350
TORRANCE, CA 90505
Social Worker (Clinical)
3812 SEPULVEDA BLVD, SUITE 390
TORRANCE, CA 90505
Psychologist
3812 SEPULVEDA BLVD, SUITE 350
TORRANCE, CA 90505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yulia Koba Antoniadou's NPI number?

The NPI number for Yulia Koba Antoniadou is 1053746297. It was assigned to this individual provider in the NPPES registry on September 6, 2013.

Where is Yulia Koba Antoniadou located?

Yulia Koba Antoniadou practices at 3812 Sepulveda Blvd, Torrance, CA 90505. The listed phone number is (310) 388-7770.

What is Yulia Koba Antoniadou's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Yulia Koba Antoniadou enrolled in Medicare?

Yes. Yulia Koba Antoniadou is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Yulia Koba Antoniadou was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.