Individual provider Active NPI

Yukio Okano, PH.D.

  • Clinical Neuropsychologist
  • Canyon Country, CA
National Provider Identifier
1417165648
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY5798 Issued in CA
Practice address
17814 Maplehurst PL
Canyon Country, CA 91387-6394
Phone
(661) 713-7598
Fax
(661) 298-0740
NPI assigned
May 20, 2007
Sex
Male
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 Neuropsychologist 103G00000X PSY5798 CA Primary

Addresses

Primary practice location

17814 Maplehurst PL
Canyon Country, CA 91387-6394

Mailing address

17814 Maplehurst PL
Canyon Country, CA 91387-6394
Phone (661) 713-7598

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417165648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17814 MAPLEHURST PL",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913876394",
            "telephone_number": "661-713-7598",
            "fax_number": "661-298-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17814 MAPLEHURST PL",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913876394",
            "telephone_number": "661-713-7598",
            "fax_number": "661-298-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKANO",
        "first_name": "YUKIO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY5798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, 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.