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DR. KENJI CHRISTIAN MIYAMOTO PHD
NPI 1194147116
Psychologist - Clinical in Los Angeles, CA

Active since January 09, 2014PECOS EnrolledAccepts Medicare Assignment
1000 WILSHIRE BLVD STE 240, LOS ANGELES, CA 90017(424) 201-1600 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenji Christian Miyamoto Phd NPPES

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

DR. KENJI CHRISTIAN MIYAMOTO PHD (NPI 1194147116) is an individual clinical provider in Los Angeles, California, licensed in California (35078) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194147116
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KENJI CHRISTIAN MIYAMOTOCredential: PHD
Location Address1000 WILSHIRE BLVD STE 240Los Angeles, CA 90017-6279
Mailing Address833 E Grinnell DrBurbank, CA 91501-1215 · (818) 846-2449
Phone(424) 201-1600
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 9, 2014
Last NPPES UpdateJune 7, 2024
NPPES CertifiedJune 7, 2024
✔ NPI 1194147116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 35078
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
1000 WILSHIRE BLVD STE 240, Los Angeles, CA 90017
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenji Christian Miyamoto Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42751208
PECOS Enrollment IDI20240916002517
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.

Areas of Expertise CMS Part B claims 11

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, 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.
764 services98 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.
148 services26 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.
124 services117 patients
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
95 services66 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
60 services15 patients
Evaluation of psychological test, each additional hour 96131
This service involves additional hours spent on assessing psychological tests. It helps to understand your mental health better, identifying any potential issues or disorders. It's a crucial step in creating an effective treatment plan.
42 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90017 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. NATALIA PECZKOWSKA PSYD
Psychologist (Clinical)
1000 WILSHIRE BLVD STE 240
LOS ANGELES, CA 90017
Los Angeles County (424) 201-1600
DR. JENNIFER HAM KOHAGURA PSY.D.
Counselor (Mental Health)
1000 WILSHIRE BLVD STE 240
LOS ANGELES, CA 90017
Los Angeles County (424) 201-1600

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 Kenji Miyamoto's NPI number?

The NPI number for Kenji Miyamoto is 1194147116. It was assigned to this individual provider in the NPPES registry on January 9, 2014.

Where is Kenji Miyamoto located?

Kenji Miyamoto practices at 1000 Wilshire Blvd Ste 240, Los Angeles, CA 90017. The listed phone number is (424) 201-1600.

What is Kenji Miyamoto's specialty?

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

Is Kenji Miyamoto enrolled in Medicare?

Yes. Kenji Miyamoto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kenji Miyamoto was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.