Yumi Terajima, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071010111 Issued in IL

Practice address

820 N Orleans St Ste 350
Chicago, IL 60610-3145

Phone

(312) 809-0298

Fax

(866) 687-0879

NPI assigned

Apr 16, 2009

Reactivated

Oct 30, 2019

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 23, 2023 through Oct 23, 2027

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Wildflower Center for Emotional Health PLLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1114342599
  NPD

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592006400000",
    "number": "1285877514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N ORLEANS ST STE 350",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103145",
            "telephone_number": "312-809-0298",
            "fax_number": "866-687-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N ORLEANS ST STE 350",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103145",
            "telephone_number": "312-809-0298",
            "fax_number": "866-687-0879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4343 Williamsbourgh Dr",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958232006",
            "country_code": "US",
            "telephone_number": "916-395-3552 x315",
            "fax_number": "916-395-3683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERAJIMA",
        "first_name": "YUMI",
        "name_prefix": "Ms.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "deactivation_date": "2019-10-22",
        "reactivation_date": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Teplica, MD
• Bernice Teplitsky, DDS
• Michaella Eve Teplitsky, PT, DPT
• Cayla Tepper, LSW
• Daniel J Tepper, MD
• Felipe Teran Merino, M.D.
• Roger Teran, MD
• Rachel Catherine Tercek, PH.D.
• Vanessa Carolina Tercero
• Terence P. Sullivan, MD, SC

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.