Individual provider Active NPI

Diane Suyeko Hayashino, PH.D.

  • Psychologist
  • Culver City, CA
National Provider Identifier
1740587716
Registry record updated Feb 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 21190 Issued in CA
Practice address
5855 Green Valley Cir Ste 202
Culver City, CA 90230-6968
Phone
(310) 365-2934
NPI assigned
Feb 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 21190 CA Primary

Addresses

Primary practice location

5855 Green Valley Cir Ste 202
Culver City, CA 90230-6968

Mailing address

5724 E Deborah St
Long Beach, CA 90815-1308
Phone (949) 293-2390

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 21190CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1298764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298764800000",
    "number": "1740587716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 E DEBORAH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151308",
            "telephone_number": "949-293-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 GREEN VALLEY CIR STE 202",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306968",
            "telephone_number": "310-365-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYASHINO",
        "first_name": "DIANE",
        "middle_name": "SUYEKO",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-27",
        "last_updated": "2011-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 21190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.