<Unavail>

LBN: Momi Yamanaka, Ph.D. Hspp Llc.
<Unavail> is an health care organization with primary practice located at 7739 E 88Th St , Indianapolis IN 46256-1231. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Cognitive & Behavioral is the primary health care specialty. Momi Yamanaka, Ph.D. Hspp Llc. can be contacted via phone (317) 517-8817, or through Yamanaka, Momi via phone (317) 517-8817.

Contact Information

Primary practice address
7739 E 88Th St Indianapolis IN 46256-1231
Phone: (317) 517-8817
Fax: (888) 443-4046
Website:
Map and Directions
Authorized official contact:
Name: Yamanaka, Momi PH.D. HSPP
Phone: (317) 517-8817

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 20042030A Indiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 20042030A Indiana
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 20042030A Indiana
Behavioral Health & Social Service Providers / Counseling 103TC1900X 20042030A Indiana
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 20042030A Indiana
Behavioral Health & Social Service Providers / Family 103TF0000X 20042030A Indiana
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 20042030A Indiana
Behavioral Health & Social Service Providers / School 103TS0200X 1601241 Indiana

Profile Details

NPI number 1609231992
LBN Legal business name Momi Yamanaka, Ph.D. Hspp Llc.
DBA Doing business as <Unavail>
Authorized official Yamanaka, Momi PH.D. HSPP
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2015
Last updated Dec 31st, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609231992 NPPES
Indiana MEDICAID 200913370A

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