Active NPI
Momi Yamanaka, PH.D.
- Psychologist
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20042030A
- Practice address
- 13295 Illinois St Ste 123
Carmel, IN 46032-3020 - Phone
- (317) 983-1119
- Fax
- (888) 443-4046
- NPI assigned
- Oct 2, 2006
- Last updated
- Sep 17, 2026
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 95000157A | IN | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 20042030A | IN | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 20042030A | IN | |
| Family Psychologist | 103TF0000X | 20042030A | IN | |
| Psychologist | 103T00000X | 20042030A | IN | Primary |
Addresses
Primary practice location
13295 Illinois St Ste 123
Carmel, IN 46032-3020
Mailing address
13295 Illinois St Ste 123
Carmel, IN 46032-3020
Phone (317) 517-8817
Other practice location 1
8350 Craig Street
Optional
Indianapolis, IN 46250
Phone (317) 517-8817
Other practice location 2
7739 E 88th St
Indianapolis, IN 46256-1231
Phone (317) 517-8817
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20042030A | IN | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hope Source Inc. | Behavior Analyst | Current | Accepting new patients |
| Momi Yamanaka, PH.D. HSPP LLC. | Behavior Analyst | Past | Accepting new patients |
Locations
7739 E 88th St
Indianapolis, IN 46256
Phone (317) 288-4767
8350 Craig St
Indianapolis, IN 46250
Organizations & group practices 4
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.
-
dba Psychology and Counseling Associates of Carmel
- Cognitive & Behavioral Psychologist
- Indianapolis, IN
- NPI 1609231992
Behavior Analyst
-
- Speech-Language Pathologist
- Indianapolis, IN
- NPI 1053846733
-
- Counseling Psychologist
- Lawrence, IN
- NPI 1629515176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1952494411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13295 ILLINOIS ST STE 123",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323020",
"telephone_number": "317-517-8817",
"fax_number": "888-443-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13295 ILLINOIS ST STE 123",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323020",
"telephone_number": "317-983-1119",
"fax_number": "888-443-4046"
}
],
"practiceLocations": [
{
"address_1": "8350 Craig Street",
"address_2": "Optional",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "46250",
"country_code": "US",
"telephone_number": "317-517-8817",
"fax_number": "888-443-4046",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7739 E 88th St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462561231",
"country_code": "US",
"telephone_number": "317-517-8817",
"fax_number": "888-443-4046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAMANAKA",
"first_name": "MOMI",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "95000157A",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "IN",
"license": "20042030A",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "IN",
"license": "20042030A",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "IN",
"license": "20042030A",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20042030A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.