DR. ELISA MIYAKE PHD
NPI 1497362495
Psychologist - Counseling in Daly City, CA

NPI Status: Active since September 24, 2020

Contact Information

2001 JUNIPERO SERRA BLVD STE 500
DALY CITY, CA
ZIP 94014
Phone: (650) 991-6135

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  • Individual
  • Female
  • Psychologist
  • Counseling
  • PECOS Enrolled

About ELISA MIYAKE

This page provides the complete NPI Profile along with additional information for Elisa Miyake, a provider established in Daly City, California with a medical specialization in Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1497362495 assigned on September 2020. The practitioner's primary taxonomy code is 103TC1900X with license number PSY31943 (CA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1497362495
Provider Name
DR. ELISA MIYAKE PHD
Gender
Female
Entity Type
Individual
Location Address
2001 JUNIPERO SERRA BLVD STE 500 DALY CITY, CA 94014
Location Phone
(650) 991-6135
Mailing Address
2001 JUNIPERO SERRA BLVD STE 500 DALY CITY, CA 94014
Mailing Phone
(650) 991-6135
Is Sole Proprietor?
Yes
Enumeration Date
09-24-2020
Last Update Date
01-14-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Counseling

Taxonomy Code
103TC1900X
Type
Behavioral Health & Social Service Providers
License No.
PSY31943
License State
CA
Taxonomy Description
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Medicare Participation & PECOS Enrollment Status

Elisa Miyake is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for DR. ELISA MIYAKE PHD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497362495
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187664418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 6 + 6 + 4 + 4 + 1 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1497362495 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063844223 HIU LAM TAI
Individual
Psychologist2001 JUNIPERO SERRA BLVD STE 500
DALY CITY, CA 94014
(650) 991-6200
1992326391 ABIGAIL ESQUIVEL-VALDEZ LCSW
Individual
Counselor (Mental Health)2001 JUNIPERO SERRA BLVD STE 500
DALY CITY, CA 94014
(650) 746-1635
1134849573 CHELSEA HOPE HUGHES LCSW
Individual
Social Worker (Clinical)2001 JUNIPERO SERRA BLVD STE 500
DALY CITY, CA 94014
(650) 991-6200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497362495, enumerated in the NPI registry as an "individual" on September 24, 2020

The provider is located at 2001 Junipero Serra Blvd Ste 500 Daly City, Ca 94014 and the phone number is (650) 991-6135

The provider's speciality is Psychologist with taxonomy code 103TC1900X with a focus in Counseling

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on September 24, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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