Active NPI
Naomi Tomoyasu, PH.D.
- Clinical Psychologist
- Ellicott City, MD
National Provider Identifier
1003260738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 012109-1
- Practice address
- 10269 Bristol Channel
Ellicott City, MD 21042-5820 - Phone
- (410) 971-1102
- Fax
- (410) 203-2258
- NPI assigned
- Apr 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 012109-1 | NY | Primary |
Addresses
Primary practice location
10269 Bristol Channel
Ellicott City, MD 21042-5820
Mailing address
10269 Bristol Channel
Ellicott City, MD 21042-5820
Phone (410) 971-1102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012109-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461110400000",
"number": "1003260738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10269 BRISTOL CHANNEL",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210425820",
"telephone_number": "410-971-1102",
"fax_number": "410-203-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10269 BRISTOL CHANNEL",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210425820",
"telephone_number": "410-971-1102",
"fax_number": "410-203-2258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMOYASU",
"first_name": "NAOMI",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-19",
"last_updated": "2016-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "012109-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.