Active NPI
Mayumi Nakamura, PSY.D.
- Psychologist
- Chicago, IL
National Provider Identifier
1881991198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 071007553
- Practice address
- 8 S Michigan Ave
Suite 1203
Chicago, IL 60603-3357 - Phone
- (866) 228-7364
- NPI assigned
- Feb 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 071007553 | IL | Primary |
Addresses
Primary practice location
8 S Michigan Ave
Suite 1203
Chicago, IL 60603-3357
Mailing address
3410 W Parker Ave
Apt 2
Chicago, IL 60647-1225
Phone (312) 363-7752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071007553 | IL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1881991198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3410 W PARKER AVE",
"address_2": "APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606471225",
"telephone_number": "312-363-7752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 S MICHIGAN AVE",
"address_2": "SUITE 1203",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606033357",
"telephone_number": "866-228-7364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKAMURA",
"first_name": "MAYUMI",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-22",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "071007553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.