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General NPI Number Information
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NPI Number | 1902772759
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Entity Type | Organization
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Legal Business Name | TIMOTHY YEN, PSY.D., A PROFESSIONAL PSYCHOLOGY CORP
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 1460 MARIA LN STE 310
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City | WALNUT CREEK
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State | CA
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Zip | 94596-8803
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Country | US
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Telephone | 925-385-8228
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Fax |
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Provider Business Mailing Address
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Address Line | 1433 RAMSAY CIR
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City | WALNUT CREEK
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State | CA
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Zip | 94597-2342
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Country | US
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Telephone | 925-385-8228
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. TIMOTHY YEN
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Credential | PSYD
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Telephone | 714-726-5051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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