Individual provider Active NPI

Alissa Sen Yamasaki, PH.D.

  • Psychologist
  • Lemont, PA
National Provider Identifier
1780860767
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS016376 Issued in PA
Practice address
720 Pike Street
Suite 2
Lemont, PA 16851-1122
Phone
(888) 965-1813
Fax
(888) 965-1813
NPI assigned
Jan 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS016376 PA Primary

Addresses

Primary practice location

720 Pike Street
Suite 2
Lemont, PA 16851-1122

Mailing address

PO Box 1122
Lemont, PA 16851-1122
Phone (814) 954-7607

Other practice location 1

1993 Cato Ave
State College, PA 16801-2754
Phone (814) 231-8820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080324000293 PA Practitioner - Clinical Psychologist 7618053208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ayama Psychotherapy LLCGroup PAC ID 8123309945, 3 clinicians

Practice addresses (Care Compare)

720 Pike St
Lemont, PA 16851-9085
Phone (814) 954-7607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Ayama Psychotherapy LLC Psychologist CurrentSince Nov 2, 2016 Accepting new patients
Centre Psychology Group CurrentSince Mar 6, 2008 Accepting new patients

Locations

1993 Cato Ave
State College, PA 16801
Phone (814) 231-8820

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780860767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1122",
            "city": "LEMONT",
            "state": "PA",
            "postal_code": "168511122",
            "telephone_number": "814-954-7607",
            "fax_number": "888-965-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 PIKE STREET",
            "address_2": "SUITE 2",
            "city": "LEMONT",
            "state": "PA",
            "postal_code": "168511122",
            "telephone_number": "888-965-1813",
            "fax_number": "888-965-1813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1993 Cato Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168012754",
            "country_code": "US",
            "telephone_number": "814-231-8820",
            "fax_number": "814-231-8857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAMASAKI",
        "first_name": "ALISSA",
        "middle_name": "SEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont, PA

Sources for this page

Verify at the official NPI Registry.