Active NPI
Ellen Claire Yoshimura, PH.D.
- Psychologist
- Missoula, MT
National Provider Identifier
1699806083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY-PSY-LIC-1732
- Practice address
- 128 S 6TH St W
Missoula, MT 59801-4031 - Phone
- (805) 652-2283
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | PSY-PSY-LIC-1732 | MT | Primary |
Addresses
Primary practice location
128 S 6TH St W
Missoula, MT 59801-4031
Mailing address
128 S 6TH St W
Missoula, MT 59801-4031
Phone (805) 652-2283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160408001727 | MT | Practitioner - Clinical Psychologist | 0941493498 | Practice locations: Missoula, MT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
128 S 6TH
Missoula, MT 59801-4031
Phone (805) 652-2283
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15099 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1699806083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 S 6TH ST W",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598014031",
"telephone_number": "805-652-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 S 6TH ST W",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598014031",
"telephone_number": "805-652-2283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOSHIMURA",
"first_name": "ELLEN",
"middle_name": "CLAIRE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MT",
"license": "PSY-PSY-LIC-1732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.