Dr. Jade Suyematsu, Psy.D.
Psychologist, Clinical in Los Angeles, CA. Individual provider (NPI-1).
NPI number1982128278
StatusActive
Last updated in NPPESMay 13, 2025
Details
- NPI
- 1982128278
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jade Suyematsu
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2017
- Last updated
- May 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY34254 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
351 E Temple St.Los Angeles, CA 90012
Phone 213-253-2677
Mailing address
2108 N St.#11965
Sacramento, CA 95816
Phone 310-222-1663
Other practice locations
1355 S Hill St
Los Angeles, CA 90015-3012
Los Angeles, CA 90015-3012
Phone 213-389-5820
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