DR. YOLANDA BASOCO BRISCOE PSYD
NPI 1508967142
Psychologist in Petaluma, CA

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
1179 N MCDOWELL BLVD, PETALUMA, CA 94954(707) 559-7500(707) 559-7620 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2022, Nov 15, 2019 (2 updates tracked since 2019).

About Dr. Yolanda Basoco Briscoe Psyd NPPES

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

DR. YOLANDA BASOCO BRISCOE PSYD (NPI 1508967142) is an individual psychologist in Petaluma, California, licensed in California (PSY19649) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Fe, and is a graduate of University Of California, San Francisco School Of Medicine (2001).

NPPES Registry Identity

NPI1508967142
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. YOLANDA BASOCO BRISCOECredential: PSYD
Location Address1179 N MCDOWELL BLVDPetaluma, CA 94954-6559
Mailing Address1179 N Mcdowell BlvdPetaluma, CA 94954-6559 · (707) 559-7500 · Fax (707) 559-7620
Fax(707) 559-7620
Sole ProprietorYes
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2001
Enumeration DateSeptember 26, 2006
Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration
NPPES CertifiedMarch 21, 2022
NPI 1508967142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in CA · PSY19649 Licensed in NM · 0920
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1179 N MCDOWELL BLVD, Petaluma, CA 94954

Secondary Practice Location 1

Location 11807 2nd St, #40Santa Fe, NM 87505-3499 · Phone (505) 235-1775

Other Identifiers 1

Medicaid4753852NM

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

Dr. Yolanda Basoco Briscoe 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 ID6800188285
PECOS Enrollment IDI20160705001047
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.

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.

Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Physician Assistant
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Nurse Practitioner (Family)
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Dentist
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Social Worker (Clinical)
1179 N MCDOWELL BLVD
PETALUMA, CA 94954

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 Yolanda Briscoe's NPI number?

The NPI number for Yolanda Briscoe is 1508967142. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Yolanda Briscoe located?

Yolanda Briscoe practices at 1179 N Mcdowell Blvd, Petaluma, CA 94954. The listed phone number is (707) 559-7500.

What is Yolanda Briscoe's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Yolanda Briscoe enrolled in Medicare?

Yes. Yolanda Briscoe 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 Yolanda Briscoe was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.