Active NPI
Marissa Yoshizawa, PSYD, MSW
- Psychologist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 4650 W Sunset Blvd # 53
Los Angeles, CA 90027-6062 - Phone
- (323) 361-3849
- NPI assigned
- Nov 4, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | |||
| Psychologist | 103T00000X | CA | Primary |
Addresses
Primary practice location
4650 W Sunset Blvd # 53
Los Angeles, CA 90027-6062
Mailing address
4650 W Sunset Blvd # 53
Los Angeles, CA 90027-6062
Phone (323) 361-3849
Other practice location 1
1453 W Temple St
Los Angeles, CA 90026
Phone (213) 202-3970
Other practice location 2
200 W Santa Ana Blvd Ste 801
Santa Ana, CA 92701-4134
Phone (714) 704-5900
Other practice location 3
1000 W Carson St # 488
Torrance, CA 90502-2004
Phone (424) 306-5737
Other practice location 4
4025 W 226th St
Torrance, CA 90505-2340
Phone (310) 373-4556 ext. 100
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Youth Services | Current | Accepting new patients |
Locations
200 W Santa Ana Blvd
Ste 801
Santa Ana, CA 92701
Phone (714) 704-5900
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Santa Ana, CA
- NPI 1679605489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1720622665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD # 53",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276062",
"telephone_number": "323-361-3849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD # 53",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276062",
"telephone_number": "323-361-3849"
}
],
"practiceLocations": [
{
"address_1": "1453 W Temple St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90026",
"country_code": "US",
"telephone_number": "213-202-3970",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 W Santa Ana Blvd Ste 801",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927014134",
"country_code": "US",
"telephone_number": "714-704-5900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 W Carson St # 488",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905022004",
"country_code": "US",
"telephone_number": "424-306-5737",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4025 W 226th St",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905052340",
"country_code": "US",
"telephone_number": "310-373-4556 x100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOSHIZAWA",
"first_name": "MARISSA",
"name_prefix": "Dr.",
"credential": "PSYD, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-04",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.