Active NPI
Lisa Nakamura, PSY.D.
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1124285580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 10801 National Blvd
Suite 611
Los Angeles, CA 90064-4139 - Phone
- (310) 273-4843
- Fax
- (310) 273-5056
- NPI assigned
- May 21, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
10801 National Blvd
Suite 611
Los Angeles, CA 90064-4139
Mailing address
10801 National Blvd Ste 611
Los Angeles, CA 90064-4170
Phone (310) 273-4843
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian Wu MD PHD Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- San Gabriel, CA
- NPI 1528639481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1124285580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10801 NATIONAL BLVD STE 611",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900644170",
"telephone_number": "310-273-4843",
"fax_number": "310-273-5056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10801 NATIONAL BLVD",
"address_2": "SUITE 611",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900644139",
"telephone_number": "310-273-4843",
"fax_number": "310-273-5056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKAMURA",
"first_name": "LISA",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.