Melissa Mariko Shimizu

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12364125 Issued in CA

Practice address

2909 Oregon CT Ste A1
Torrance, CA 90503-2693

Phone

(310) 320-1333

NPI assigned

Apr 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Autism Behavior Consultants, Inc

  • Behavior Analyst
  • Torrance, CA
  • NPI 1518233949
  NPD (past)

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1831885987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 OREGON CT STE A1",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032693",
            "telephone_number": "310-320-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 OREGON CT STE A1",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032693",
            "telephone_number": "310-320-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMIZU",
        "first_name": "MELISSA",
        "middle_name": "MARIKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "12364125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naohiko Shimada, P.T.
• Chad Takao Shimazaki, O.D.
• Takao Shimazaki, O.D.
• Duane Hiroshi Shimizu, O.D.
• Harold Shimizu
• Uta S. Shimizu, MD
• Naomi Shimozono, DPT
• Cara Shin, OTRL
• Hara Shin, L.AC
• Irene Shin

• Behavior Analyst in Torrance, CA
• Providers in Torrance, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.