Individual provider Active NPI

Kazuna Nakama

  • Prescribing (Medical) Psychologist
  • O Fallon, IL
National Provider Identifier
1639012297
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
1386059277 Issued in IL
Practice address
414 E 2ND St
O Fallon, IL 62269-2134
Phone
(224) 220-7291
NPI assigned
Apr 9, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X 1386059277 IL Primary

Addresses

Primary practice location

414 E 2ND St
O Fallon, IL 62269-2134

Mailing address

414 E 2ND St
O Fallon, IL 62269-2134
Phone (224) 220-7291

Other names 1

  • Sanny Lin Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://health.linglin.art Direct

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

LicenseStateTypeSpecialty
1386059277ILMDPrescribing (Medical) Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1639012297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E 2ND ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692134",
            "telephone_number": "224-220-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E 2ND ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692134",
            "telephone_number": "224-220-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMA",
        "first_name": "KAZUNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "IL",
            "license": "1386059277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://health.linglin.art",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "414 E 2nd St",
            "city": "O Fallon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622692134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SANNY",
            "last_name": "LIN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in O Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.