Active NPI
Jade Suyematsu, PSY.D.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1982128278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY34254
- Practice address
- 351 E Temple St.
Los Angeles, CA 90012 - Phone
- (213) 253-2677
- NPI assigned
- Jul 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | PSY34254 | CA | Primary |
Addresses
Primary practice location
351 E Temple St.
Los Angeles, CA 90012
Mailing address
2108 N St.
#11965
Sacramento, CA 95816
Phone (310) 222-1663
Other practice location 1
1355 S Hill St
Los Angeles, CA 90015-3012
Phone (213) 389-5820
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 |
|---|---|---|---|
| PSY34254 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1982128278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 N ST.",
"address_2": "#11965",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95816",
"telephone_number": "310-222-1663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 E TEMPLE ST.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90012",
"telephone_number": "213-253-2677"
}
],
"practiceLocations": [
{
"address_1": "1355 S Hill St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900153012",
"country_code": "US",
"telephone_number": "213-389-5820",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUYEMATSU",
"first_name": "JADE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-28",
"last_updated": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY34254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.