Active NPI
Yoshiko Yamamoto, PSYCHOLOGIST
- Psychologist
- Spring Lake, NC
National Provider Identifier
1619905262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS017236
- Practice address
- 1111 Shell Dr Apt 60
Spring Lake, NC 28390-2052 - Phone
- (856) 761-4725
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS017236 | PA | Primary |
Addresses
Primary practice location
1111 Shell Dr Apt 60
Spring Lake, NC 28390-2052
Mailing address
1111 Shell Dr Apt 60
Spring Lake, NC 28390-2052
Phone (856) 761-4725
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS017236 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462406400000",
"number": "1619905262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 SHELL DR APT 60",
"city": "SPRING LAKE",
"state": "NC",
"postal_code": "283902052",
"telephone_number": "856-761-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 SHELL DR APT 60",
"city": "SPRING LAKE",
"state": "NC",
"postal_code": "283902052",
"telephone_number": "856-761-4725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMAMOTO",
"first_name": "YOSHIKO",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2016-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS017236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Lake, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.