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KAZUNA NAKAMA
NPI 1639012297
Psychologist - Prescribing (Medical) in O Fallon, IL

Active since April 09, 2026
414 E 2ND ST, O FALLON, IL 62269(224) 220-7291 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kazuna Nakama NPPES

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

KAZUNA NAKAMA (NPI 1639012297) is an individual prescribing (medical) provider in O Fallon, Illinois, licensed in Illinois (1386059277) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1639012297
Entity TypeIndividualFemale
Primary Taxonomy103TP0016X
Provider Legal NameKAZUNA NAKAMA
Location Address414 E 2ND STO Fallon, IL 62269-2134
Mailing Address414 E 2nd StO Fallon, IL 62269-2134 · (224) 220-7291
Phone(224) 220-7291
Sole ProprietorYes
Enumeration DateApril 9, 2026
NPPES CertifiedApril 9, 2026
✔ NPI 1639012297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License✔ Licensed in IL · 1386059277
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
414 E 2ND ST, O Fallon, IL 62269
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Other Names 1

Professional Name (2)Sanny Lin Md

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kazuna Nakama's NPI number?

The NPI number for Kazuna Nakama is 1639012297. It was assigned to this individual provider in the NPPES registry on April 9, 2026. The provider is also known as Sanny Lin MD.

Where is Kazuna Nakama located?

Kazuna Nakama practices at 414 E 2nd St, O Fallon, IL 62269. The listed phone number is (224) 220-7291.

What is Kazuna Nakama's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Kazuna Nakama was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.