EMI IIJIMA PSY.D.
NPI 1154551760
Psychologist - Clinical in South Pasadena, CA

Q: What is Emi Iijima's NPI number?

The NPI number for Emi Iijima is 1154551760. It was assigned to this individual provider in the NPPES registry on July 16, 2009.

Q: What is Emi Iijima's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Emi Iijima was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 16, 2009PECOS Enrolled

1015 FREMONT AVE, 2ND FL #9, SOUTH PASADENA, CA 91030(323) 972-7459 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Emi Iijima Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMI IIJIMA PSY.D. (NPI 1154551760) is an individual clinical provider in South Pasadena, California, licensed in California (PSY26001) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1154551760

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameEMI IIJIMACredential: PSY.D.

Location Address1015 FREMONT AVE, 2ND FL #9South Pasadena, CA 91030

Mailing Address1015 Fremont Ave, 2nd Fl #9South Pasadena, CA 91030 · (323) 972-7459

Phone(323) 972-7459

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 16, 2009

Last NPPES UpdateJune 11, 2021

NPPES CertifiedJune 11, 2021

✔ NPI 1154551760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY26001

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1015 FREMONT AVE, South Pasadena, CA 91030

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emi Iijima Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456583152

PECOS Enrollment IDI20140411000690

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Emi Iijima reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hikari Adult & Older Adult Psychological Care Inc.

Same address

Clinical

1015 FREMONT AVE., 2ND FL #9
South Pasadena, CA 91030

Reassigned Medicare billing, California enrollment

NPI 1023628732 (323) 972-7459

Eb Psychotherapy, Inc

18 mi

Clinical

2001 S BARRINGTON AVE STE 314
Los Angeles, CA 90025

Reassigned Medicare billing, California enrollment
10 clinicians in this Medicare group

NPI 1699009753 (310) 999-9683

Elderly Behavioral Wellness Services Inc

18 mi

Adult Development & Aging

2001 S BARRINGTON AVE STE 314
Los Angeles, CA 90025

Reassigned Medicare billing, California enrollment
4 clinicians in this Medicare group

NPI 1871983106 (310) 999-9683

Sud Specialty Group - Ca

312 mi

Addiction Medicine

4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054

Reassigned Medicare billing, California enrollment
1,607 clinicians in this Medicare group

NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

396 services32 patients

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

294 services26 patients

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

69 services16 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GABRIELLE DUCSAY PSYD

Psychologist (Clinical)

1015 FREMONT AVE
SOUTH PASADENA, CA 91030

Los Angeles County (424) 239-9470

MICHAEL VITALE

Marriage & Family Therapist

1015 FREMONT AVE
SOUTH PASADENA, CA 91030

Los Angeles County (424) 652-8851

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emi Iijima's NPI number?

The NPI number for Emi Iijima is 1154551760. It was assigned to this individual provider in the NPPES registry on July 16, 2009.

Where is Emi Iijima located?

Emi Iijima practices at 1015 Fremont Ave 2nd Fl #9, South Pasadena, CA 91030. The listed phone number is (323) 972-7459.

What is Emi Iijima's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Emi Iijima enrolled in Medicare?

Yes. Emi Iijima is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emi Iijima's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emi Iijima reassigns Medicare benefits to 4 organizations: Hikari Adult & Older Adult Psychological Care Inc. (South Pasadena, CA), Eb Psychotherapy, Inc (Los Angeles, CA), Elderly Behavioral Wellness Services Inc (Los Angeles, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emi Iijima's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Emi Iijima was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.