Active NPI
Rie Honda Mizuki, PH.D.
- Clinical Psychologist
- Cerritos, CA
National Provider Identifier
1992360234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY13498
- Practice address
- 11879 Del Amo Blvd
Cerritos, CA 90703-7605 - Phone
- (562) 537-8731
- NPI assigned
- May 2, 2019
- Last updated
- May 2, 2019
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY13498 | CA | Primary |
Addresses
Primary practice location
11879 Del Amo Blvd
Cerritos, CA 90703-7605
Mailing address
10181 Pimlico Dr
Cypress, CA 90630-4144
Phone (562) 537-8731
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY13498 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1992360234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10181 PIMLICO DR",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906304144",
"telephone_number": "562-537-8731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11879 DEL AMO BLVD",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907037605",
"telephone_number": "562-537-8731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZUKI",
"first_name": "RIE",
"middle_name": "HONDA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-02",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY13498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.