Nikolett Katalin Takacs-Kelecic, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS016900 Issued in PA

Practice address

2091 E High St
Pottstown, PA 19464-3211

Phone

(610) 970-5234

NPI assigned

Aug 27, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Cindy Nikolett Takacs Professional name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Senior Care Therapy of Pennsylvania PCGroup PAC ID 2264791268, 28 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Senior Care Therapy of Pennsylvania, P.C.

  • Clinical Social Worker
  • Prospect Park, PA
  • NPI 1003320672
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1245588011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643211",
            "telephone_number": "610-970-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKACS-KELECIC",
        "first_name": "NIKOLETT",
        "middle_name": "KATALIN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "TAKACS",
            "middle_name": "NIKOLETT",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• William Syska, PA-C
• Rachel Szalabofka
• Missy Szymanski, BS
• Connie Lynn Taglieber, COTA/L
• Mindy L Tait, CRNP, FNP-BC
• Denise Takakjy, MS, LPC, NCC, BSL
• Carlton Talley III
• Haley Tammany, MSW
• Julia Tammaro
• Yuming Tan

• Clinical Psychologist in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.