Active NPI
Elaine Midori Yamada, PH.D.
- Psychologist
- Baltimore, MD
National Provider Identifier
1720137847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 00985
- Practice address
- 4511 Clifton Rd
Baltimore, MD 21216-1646 - Phone
- (410) 664-2031
- NPI assigned
- Jan 9, 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 | 00985 | MD | Primary |
Addresses
Primary practice location
4511 Clifton Rd
Baltimore, MD 21216-1646
Mailing address
4511 Clifton Rd
Baltimore, MD 21216-1646
Phone (410) 664-2031
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146071400 | Medicaid | MD | |
| 7913 0001 | Other | MD | FEP |
| 002571 | Other | MD | VALUEOPTIONS |
| G985EM | Other | MD | CAREFIRST BLUECROSS BLUES |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1720137847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4511 CLIFTON RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212161646",
"telephone_number": "410-664-2031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4511 CLIFTON RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212161646",
"telephone_number": "410-664-2031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMADA",
"first_name": "ELAINE",
"middle_name": "MIDORI",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "00985",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146071400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEP",
"identifier": "7913 0001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "002571",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECROSS BLUES",
"identifier": "G985EM",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.