Organization Active NPI

Hikari Adult & Older Adult Psychological Care Inc.

  • Clinical Psychologist
  • South Pasadena, CA
National Provider Identifier
1023628732
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HIKARI ADULT & OLDER ADULT PSYCHOLOGICAL CARE INC.
Practice address
1015 Fremont Ave.
2ND FL #9
South Pasadena, CA 91030
Phone
(323) 972-7459
Fax
(888) 636-1331
NPI assigned
Aug 6, 2020
Last updated
Jun 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Emi Iijima, PSYD.NPI 1154551760
Title
President/ Ceo/ Clinical Director
Phone
(323) 972-7459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

1015 Fremont Ave.
2ND FL #9
South Pasadena, CA 91030

Mailing address

1015 Fremont Ave.
2ND FL #9
South Pasadena, CA 91030
Phone (323) 972-7459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200824002761 CA Part B Supplier - Clinic/Group Practice 4688091515 Receives reassigned benefits from 1 practitioner
Practice locations: South Pasadena, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1023628732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 FREMONT AVE.",
            "address_2": "2ND FL #9",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "91030",
            "telephone_number": "323-972-7459",
            "fax_number": "888-636-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 FREMONT AVE.",
            "address_2": "2ND FL #9",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "91030",
            "telephone_number": "323-972-7459",
            "fax_number": "888-636-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIKARI ADULT & OLDER ADULT PSYCHOLOGICAL CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "IIJIMA",
        "authorized_official_first_name": "EMI",
        "authorized_official_title_or_position": "PRESIDENT/ CEO/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "323-972-7459",
        "authorized_official_credential": "PSYD."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.