XIN LYU
NPI 1407338601
Psychologist - Clinical in San Jose, CA

Active since September 04, 2018PECOS EnrolledAccepts Medicare Assignment
2400 MOORPARK AVE STE 300, SAN JOSE, CA 95128(408) 975-2730 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2024, May 19, 2022, Sep 15, 2021 and 3 more (6 updates tracked since 2018).

About Xin Lyu NPPES

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

XIN LYU (NPI 1407338601) is an individual clinical provider in San Jose, California, licensed in District Of Columbia (PSY200001580) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Toledo College Of Medicine (2020).

NPPES Registry Identity

NPI1407338601
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameXIN LYU
Location Address2400 MOORPARK AVE STE 300San Jose, CA 95128-2680
Mailing Address2400 Moorpark Ave Ste 300San Jose, CA 95128-2680 · (408) 975-2730
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2020
Enumeration DateSeptember 4, 2018
Last NPPES UpdateJune 27, 20246 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
NPI 1407338601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in DC · PSY200001580
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.
Also ListedPsychologistTaxonomy 103T00000X · License PSY33304 (CA)
2400 MOORPARK AVE STE 300, San Jose, CA 95128

Other Names 1

Former Name (1)Xin Lv

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

Xin Lyu 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 ID5991183261
PECOS Enrollment IDI20240628002029
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95128 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
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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 20

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

Marriage & Family Therapist
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Community Health Worker
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Marriage & Family Therapist
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Community Health Worker
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Family Medicine
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Registered Nurse
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Psychologist
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Marriage & Family Therapist
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128

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 Xin Lyu's NPI number?

The NPI number for Xin Lyu is 1407338601. It was assigned to this individual provider in the NPPES registry on September 4, 2018. The provider is also known as Xin Lv.

Where is Xin Lyu located?

Xin Lyu practices at 2400 Moorpark Ave Ste 300, San Jose, CA 95128. The listed phone number is (408) 975-2730.

What is Xin Lyu's specialty?

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

Is Xin Lyu enrolled in Medicare?

Yes. Xin Lyu 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 Xin Lyu was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.