Individual
DR. MOMI YAMANAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
13295 ILLINOIS ST STE 123, CARMEL, IN 46032-3020
(317) 983-1119
(888) 443-4046
Mailing address
13295 ILLINOIS ST STE 123, CARMEL, IN 46032-3020
(317) 517-8817
(888) 443-4046
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-17-28912
IN
103T00000X
Psychologist
Primary
20042030A
IN
103TB0200X
Cognitive & Behavioral Psychologist
20042030A
IN
103TC2200X
Clinical Child & Adolescent Psychologist
20042030A
IN
103TF0000X
Family Psychologist
20042030A
IN
Other
Enumeration date
10/02/2006
Last updated
01/11/2026
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