Daniel Yim, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

124084 Issued in CA

Practice address

7080 Hollywood Blvd Ste 815
Los Angeles, CA 90028-6935

Phone

(323) 522-9556

NPI assigned

Feb 28, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD
• Apply Therapy Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sylmar, CA
  • NPI 1326766866
  NPD Authorized official
• Institute for the Redesign of Learning

  • Marriage & Family Therapist
  • South Pasadena, CA
  • NPI 1124212295

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1790287217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N GLENDALE AVE STE B-151",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7080 HOLLYWOOD BLVD STE 815",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900286935",
            "telephone_number": "323-522-9556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Pasadena Ave",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "CA",
            "postal_code": "91030",
            "country_code": "US",
            "telephone_number": "323-344-5536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13250 Herron St",
            "address_purpose": "LOCATION",
            "city": "Sylmar",
            "state": "CA",
            "postal_code": "913422523",
            "country_code": "US",
            "telephone_number": "415-723-6376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15305 Rayen St",
            "address_purpose": "LOCATION",
            "city": "North Hills",
            "state": "CA",
            "postal_code": "913435117",
            "country_code": "US",
            "telephone_number": "818-892-3423",
            "fax_number": "818-893-4509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YIM",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-28",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFTI103612",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103612",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "7184",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "7708",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "7368",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "7667",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yigal Prilutsky, D.M.D., Inc.
• Sharon Yik, PA-C
• Kemal Yildiz
• Bilge Ozge Yilmaz, PHD
• Michelle Yim Tang, DO
• David Jae Yim, DSW, LCSW
• Erin Yim, M.D.
• Hyun Jin Yim
• Jonathan H Yim
• Olivia Yu Yim, LCSW

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.