NPIMap

Organization Active NPI

Ayama Psychotherapy LLC

  • Psychologist
  • Lemont, PA
National Provider Identifier
1932655990
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS016376 Issued in PA
Legal business name
AYAMA PSYCHOTHERAPY LLC
Practice address
720 Pike St
Lemont, PA 16851
Phone
(814) 470-1868
NPI assigned
Aug 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Authorized official

Name
Dr. Alissa S Yamasaki, PH.D.NPI 1780860767
Title
Licensed Psychologist/Owner
Phone
(814) 470-1868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PS016376 PA Primary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X PS018048 PA

Addresses

Primary practice location

720 Pike St
Lemont, PA 16851

Mailing address

80 Cornfield LN
Port Matilda, PA 16870-8335
Phone (814) 470-1868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170110000119 PA Part B Supplier - Clinic/Group Practice 8123309945 Receives reassigned benefits from 3 practitioners
Practice locations: Lemont, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1932655990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CORNFIELD LN",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168708335",
            "telephone_number": "814-470-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 PIKE ST",
            "city": "LEMONT",
            "state": "PA",
            "postal_code": "16851",
            "telephone_number": "814-470-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYAMA PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "YAMASAKI",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "814-470-1868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016376",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS018048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.