Individual provider Active NPI

Rumiko Okada, PH.D.

  • Clinical Psychologist
  • Santa Ana, CA
National Provider Identifier
1295862092
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY12121 Issued in CA
Practice address
2220 E Fruit St
Suite 109
Santa Ana, CA 92701-4459
Phone
(714) 541-8255
Fax
(714) 541-8256
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY12121 CA Primary

Addresses

Primary practice location

2220 E Fruit St
Suite 109
Santa Ana, CA 92701-4459

Mailing address

2220 E Fruit St
Suite 109
Santa Ana, CA 92701-4459
Phone (714) 541-8255

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY12121CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295862092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 E FRUIT ST",
            "address_2": "SUITE 109",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014459",
            "telephone_number": "714-541-8255",
            "fax_number": "714-541-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E FRUIT ST",
            "address_2": "SUITE 109",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014459",
            "telephone_number": "714-541-8255",
            "fax_number": "714-541-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKADA",
        "first_name": "RUMIKO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY12121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.