Organization Active NPI

Nakajima Psychological and Educational Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oak Park, CA
National Provider Identifier
1801467782
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NAKAJIMA PSYCHOLOGICAL AND EDUCATIONAL SERVICES
Practice address
631 Oak Run TRL Unit 107
Oak Park, CA 91377-5621
Phone
(805) 409-7289
NPI assigned
Jul 1, 2021
Last updated
Jul 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Kentaro Nakajima, PH.D.
Title
Ceo
Phone
(805) 409-7289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

631 Oak Run TRL Unit 107
Oak Park, CA 91377-5621

Mailing address

PO Box 642
Agoura Hills, CA 91376-0642

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1801467782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913760642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 OAK RUN TRL UNIT 107",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913775621",
            "telephone_number": "805-409-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAKAJIMA PSYCHOLOGICAL AND EDUCATIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "NAKAJIMA",
        "authorized_official_first_name": "KENTARO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-409-7289",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.