Active NPI
Elise Michiko Yoshida, PSY.D.
- Clinical Psychologist
- Long Beach, CA
National Provider Identifier
1669955027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY31265
- Practice address
- 2600 Redondo Ave FL 3
Long Beach, CA 90806-2325 - Phone
- (562) 256-9000
- NPI assigned
- Sep 12, 2018
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY31265 | CA | Primary |
Addresses
Primary practice location
2600 Redondo Ave FL 3
Long Beach, CA 90806-2325
Mailing address
19000 Hawthorne Blvd Ste 100
Torrance, CA 90503-1517
Phone (310) 541-3682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY31265 | CA | MD | Clinical Psychologist |
| 31265 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1669955027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19000 HAWTHORNE BLVD STE 100",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905031517",
"telephone_number": "310-541-3682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 REDONDO AVE FL 3",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062325",
"telephone_number": "562-256-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOSHIDA",
"first_name": "ELISE",
"middle_name": "MICHIKO",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-12",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY31265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.