MEDICARE: DR. MARC ANDREW YBABEN PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY 17915	CA
2	103TB0200X	Cognitive & Behavioral Psychologist	PSY 17915	CA
3	103TH0100X	Health Service Psychologist	PSY 17915	CA
4	103TC0700X	Clinical Psychologist	PSY 17915	CA

General Provider Information

NPI Number	:	1376696682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC ANDREW YBABEN PH.D.

Provider Business Mailing Address
First Line	:	7238 6TH ST BLDG 249
Second Line	:
City	:	HILL AFB
State	:	UT
Zip	:	84056-5213
Country	:	US
Telephone Number	:	801-777-1163
Fax Number	:

Provider Business Practice Location Address
First Line	:	7238 6TH ST BLDG 249
Second Line	:
City	:	HILL AFB
State	:	UT
Zip	:	84056-5213
Country	:	US
Telephone Number	:	801-777-1163
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	02/05/2025

Similar Medicare Providers

1760476022 — MR. ROBERT EPPENS
Practice Location Address:

7238 6TH ST , 75TH AEROSPACE MEDICINE SQUADRON/SGPMA
HILL AFB, UT
84056-5213

Practice Phone: 801-777-1166
Practice Fax:

1134313125 — DR. ERYN AMALIA CAAMANO STANSFIELD M.D., MOH
Practice Location Address:

7238 6TH ST BLDG 249
HILL AFB, UT
84056-5213

Practice Phone: 801-231-9559
Practice Fax:

1982681292 — MR. RICKIE E. JOHNSON PA
Practice Location Address:

7238 6TH ST BLDG 249
HILL AIR FORCE BASE, UT
84056-5213

Practice Phone: 801-777-1155
Practice Fax: 801-775-6884

1083672992 — GARY HEASTON PA-C
Practice Location Address:

7238 6TH ST , JENSEN OCCUPATIONAL MEDICINE CENTER, BLDG. 249
HILL AIR FORCE BASE, UT
84056-5213

Practice Phone: 801-777-1157
Practice Fax:

1912708728 — JENNIFER J ANDRADE
Practice Location Address:

901 SAC BLVD STE 2A7
OFFUTT AFB, NE
68113-5213

Practice Phone: 402-912-8569
Practice Fax:

1558367334 — DR. IHN WHAN ROH M.D.
Practice Location Address:

5107 SILVER HILL RD
SUITLAND, MD
20746-5213

Practice Phone: 301-568-1784
Practice Fax: 301-899-8250

Directions to “ DR. MARC ANDREW YBABEN PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.