Makiko Guji

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00003684 Issued in WA

Practice address

3819 100TH St SW
Suite 7-C
Lakewood, WA 98499-4470

Phone

(253) 588-7911

Fax

(253) 984-6774

NPI assigned

Feb 14, 2007

Last updated

Apr 6, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2019 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crescent Psychiatry PLLC

  • Clinical Psychologist
  • Lakewood, WA
  • NPI 1245462134
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1003959891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7191 WAGNER WAY",
            "address_2": "SUITE 301",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358330",
            "telephone_number": "253-514-8068",
            "fax_number": "253-514-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 100TH ST SW",
            "address_2": "SUITE 7-C",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994470",
            "telephone_number": "253-588-7911",
            "fax_number": "253-984-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUJI",
        "first_name": "MAKIKO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00003684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LICENSE",
            "identifier": "PY00003684",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yilei Gu, M.D.
• Gina Guajardo, DC
• Samantha L. Gubka, DPT, OCS, CCCE
• Tammy Irene Guenzi, RN
• Takla Guirges
• Melanie A Gulish, MSPT
• Sonia Gupta
• Sheri L Gurth, AA
• Asurupi Gurung, FNP
• Kurt Gustavson, DPM

• Clinical Psychologist in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.