MR. KYLE YAMASAKI
NPI 1396885471
Counselor - Mental Health in San Jose, CA
- Individual
- Male
- Counselor
- Mental Health
- Opted-Out Medicare
About KYLE YAMASAKI
This page provides the complete NPI Profile along with additional information for Kyle Yamasaki, a provider established in San Jose, California with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1396885471 assigned on February 2007. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1396885471 Verify this NPI
- Provider Name
- MR. KYLE YAMASAKI
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2400 MOORPARK AVE STE 300 SAN JOSE, CA 95128
- Location Phone
- (408) 975-2730
- Location Fax
- (408) 975-2745
- Mailing Address
- 2400 MOORPARK AVE STE 300 SAN JOSE, CA 95128
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-07-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A mental health counselor like Kyle Yamasaki provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kyle Yamasaki opted out of Medicare effective on 01-01-2024 until 01-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2024
Opt-Out End Date: 01-01-2026
Eligible to Order and Refer? No
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396885471, enumerated as an "individual" on February 07, 2007.
The provider is located at 2400 MOORPARK AVE STE 300 SAN JOSE, CA 95128 and the phone number is (408) 975-2730.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
