Carlos Yoshiyuki Konishi, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY22486 Issued in CA

Practice address

1120 W la Veta Ave Ste 660&470
Orange, CA 92868-4231

Phone

(714) 509-8210

NPI assigned

Sep 29, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Carlos Yoshiyuki Konishi Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Hospital of Orange County

  dba CYS CHOC Project HEALTH FSP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orange, CA
  • NPI 1780173583
  NPD

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1851541684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W LA VETA AVE STE 660",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684244",
            "telephone_number": "714-509-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W LA VETA AVE STE 660&470",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684231",
            "telephone_number": "714-509-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONISHI",
        "first_name": "CARLOS",
        "middle_name": "YOSHIYUKI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY22486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "KONISHI",
            "middle_name": "YOSHIYUKI",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Leilani Konatsu
• Allen Patrick Kong, MD
• Xiaotang Kong, MD
• Lyda Kongswangwongsa
• Piyanuch Kongtim, MD, PHD.
• Konnections Integrated Services, Inc.
• Ariel Noelle Konneker
• Anvita Reddy Konreddy
• Kurtis William Konstanzer
• Krystle Kontoes

• Psychologist in Orange, CA
• Providers in Orange, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.