STEPHANIE YAMADA MITSUUCHI PSYD
NPI 1932240876
Psychologist - Clinical in Signal Hill, CA

Active since February 12, 2007PECOS Enrolled
2525 CHERRY AVE STE 350, SIGNAL HILL, CA 90755(562) 740-8477 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2024, Sep 19, 2024, Dec 7, 2023 and 3 more (6 updates tracked since 2017).

About Stephanie Yamada Mitsuuchi Psyd NPPES

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

STEPHANIE YAMADA MITSUUCHI PSYD (NPI 1932240876) is an individual clinical provider in Signal Hill, California, licensed in California (35339) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1932240876
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSTEPHANIE YAMADA MITSUUCHICredential: PSYD
Location Address2525 CHERRY AVE STE 350Signal Hill, CA 90755-2061
Mailing Address21143 Hawthorne Blvd # 336Torrance, CA 90503-4615
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 12, 2007
Last NPPES UpdateDecember 9, 20246 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1932240876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 35339
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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License PSB94027414 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License PSB94027414 (CA)
2525 CHERRY AVE STE 350, Signal Hill, CA 90755

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Yamada Mitsuuchi Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335607852
PECOS Enrollment IDI20260814004091
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 Reassignment

Medicare enrollment records show Stephanie Yamada Mitsuuchi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
41 E FOOTHILL BLVD STE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 255 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90755 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

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

Marriage & Family Therapist
2525 CHERRY AVE STE 350
SIGNAL HILL, CA 90755

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 Stephanie Yamada Mitsuuchi's NPI number?

The NPI number for Stephanie Yamada Mitsuuchi is 1932240876. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Stephanie Yamada Mitsuuchi located?

Stephanie Yamada Mitsuuchi practices at 2525 Cherry Ave Ste 350, Signal Hill, CA 90755. The listed phone number is (562) 740-8477.

What is Stephanie Yamada Mitsuuchi's specialty?

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

Is Stephanie Yamada Mitsuuchi enrolled in Medicare?

Yes. Stephanie Yamada Mitsuuchi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephanie Yamada Mitsuuchi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Yamada Mitsuuchi reassigns Medicare benefits to Soultenders Psychological Services, Inc. (Arcadia, CA). The 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 Stephanie Yamada Mitsuuchi'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 Stephanie Yamada Mitsuuchi was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.