Emi Iijima, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY26001 Issued in CA

Practice address

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

Phone

(323) 972-7459

NPI assigned

Jul 16, 2009

Last updated

Jun 11, 2021By 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

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Elderly Behavioral Wellness Services IncGroup PAC ID 4082934880, 2 clinicians

Eb Psychotherapy, IncGroup PAC ID 8527107705, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elderly Behavioral Wellness Services Inc

  • Adult Development & Aging Psychologist
  • Los Angeles, CA
  • NPI 1871983106
  Medicare reassignment Care Compare group NPD
• Hikari Adult & Older Adult Psychological Care Inc.

  • Clinical Psychologist
  • South Pasadena, CA
  • NPI 1023628732
  Medicare reassignment NPD Authorized official
• Eb Psychotherapy, Inc

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1699009753
  Medicare reassignment Care Compare group
• Sud Specialty Group - Ca

  dba Rula Health

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238
  Medicare reassignment NPD
• Emi Iijima, Psy.D.

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1730719170
  NPD Authorized official

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1154551760",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IIJIMA",
        "first_name": "EMI",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Chui Hy, LMFT
• Patricia Isabel Ibarra
• Amber Ibbs
• Bassant Abdelkerem Ibrahim
• Renmar Ignacio
• Judy Lee Ingoldsby, MA
• Institute for the Redesign of Learning (Almansor Education Center)
• Institute for the Redesign of Learning (Almansor Clinical Serivces)
• Institute for the Redesign of Learning
• Institute for the Redesign of Learning (Almansor Clinical Services)

• Clinical Psychologist in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.