Individual provider Active NPI

Maiko Sakamoto, M.A., M.S.

  • Psychologist
  • San Diego, CA
National Provider Identifier
1518120260
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
2357 State St
Apt D
San Diego, CA 92101-1300
Phone
(267) 235-9624
NPI assigned
Jul 2, 2008
Last updated
Jul 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

2357 State St
Apt D
San Diego, CA 92101-1300

Mailing address

2357 State St Apt D
San Diego, CA 92101-1300
Phone (619) 725-3560

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
Master of Arts, Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1518120260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 STATE ST APT D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011300",
            "telephone_number": "619-725-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2357 STATE ST",
            "address_2": "APT D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011300",
            "telephone_number": "267-235-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKAMOTO",
        "first_name": "MAIKO",
        "credential": "M.A., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.