EMI IIJIMA (PSY.D.) – Clinical Psychologist, NPI 1154551760

EMI IIJIMA (PSY.D.) is a healthcare provider. based in South pasadena, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. PSY26001 (CA). The NPI Number for EMI IIJIMA (PSY.D.) is 1154551760

Main info

Female
Sole Proprietor
14 Years Of Experience
Name
EMI IIJIMA (PSY.D.)
NPI
1154551760
Phone
(323) 972-7459
Address
1015 FREMONT AVE
Enumeration Date
16 July 2009
Last Update Date
11 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3109999683
Graduation Year
2012 (14 years ago)
PAC ID
1456583152
Group Practice PAC ID
8527107705
Professional Enrollment ID
I20140411000690
Address ID
CA900255379LO2001XAVEX407
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

4,434 CLINICAL PSYCHOLOGIST in CA

Provider Addresses for EMI IIJIMA (PSY.D.)

  • 1015 FREMONT AVE

    2ND FL #9

    SOUTH PASADENA, CA 91030

    Phone: (323) 972-7459

    Type: Mailing

  • 2001, South Barrington Avenue, West Los Angeles, Sawtelle, Los Angeles, Los Angeles County, California, 90025, United States

    SUITE 219

    LOS ANGELES, CA 900255363

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140411000690IClinical PsychologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour27324$0
90834Psychotherapy, 45 minutes19418$0
90791Psychiatric diagnostic evaluation1515$0
View full utilization report →

Insurance plans in this area (ZIP 91030)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527107705View full group profile
NameSpecialtyState
Clinical Social WorkerCA
Clinical PsychologistCA
Marriage And Family TherapistCA

Reviews

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Frequently asked questions

Is EMI IIJIMA (PSY.D.) listed with a National Provider Identifier?
Yes — EMI IIJIMA (PSY.D.) has NPI 1154551760 on file in the registry.
Is EMI IIJIMA (PSY.D.) shown as active in public data?
Registry records indicate EMI IIJIMA (PSY.D.) maintains an active NPI.
What expertise is attributed to EMI IIJIMA (PSY.D.)?
EMI IIJIMA (PSY.D.)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for EMI IIJIMA (PSY.D.)?
Travel planning: use South Pasadena, California as the reference point for EMI IIJIMA (PSY.D.), then confirm.
Can I trust this NPI listing for EMI IIJIMA (PSY.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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