Anne Takahashi, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY19631 Issued in CA

Practice address

51 E. Campbell Ave
Suite 170
Campbell, CA 95008-2001

Phone

(408) 370-6191

Fax

(408) 370-6196

NPI assigned

May 13, 2007

Last updated

Apr 22, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 13, 2024 through Jun 13, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mountain Oak Comprehensive Care P.C.

  • Mental Illness Community Based Residential Treatment Facility
  • La Selva Beach, CA
  • NPI 1992098628
  NPD (past)
• White Oak Medical Office Inc

  • Psychiatry Physician
  • Campbell, CA
  • NPI 1003007188
  NPD (past)

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1417162462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E. CAMPBELL AVE.",
            "address_2": "SUITE 170",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082001",
            "telephone_number": "408-370-6191",
            "fax_number": "408-370-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E. CAMPBELL AVE",
            "address_2": "SUITE 170",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082001",
            "telephone_number": "408-370-6191",
            "fax_number": "408-370-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAHASHI",
        "first_name": "ANNE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-13",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Aljecera Tacorda Jr., PT
• Deanna Tafoya
• Ziba Taghipour
• Medina Tahir
• Judy Tai, MD
• Richard Keanue Nue Oka Lani Takahata
• Victoria Tamayo
• Chenyun Tan
• Deborah Tan
• Grace Tang, LMFT

• Clinical Psychologist in Campbell, CA
• Providers in Campbell, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.