Active NPI
Tara Marie Kakaty, PSYD, MS
- Clinical Psychologist
- Little Silver, NJ
National Provider Identifier
1477826634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35S100506200
- Practice address
- 44 Sycamore Ave Ste 3D
Little Silver, NJ 07739-1242 - Phone
- (732) 784-8820
- NPI assigned
- Feb 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 019323 | NY | |
| Clinical Psychologist | 103TC0700X | 35S100506200 | NJ | Primary |
Addresses
Primary practice location
44 Sycamore Ave Ste 3D
Little Silver, NJ 07739-1242
Mailing address
44 Sycamore Avenue
Suite 3D
Little Silver, NJ 07739
Phone (732) 784-8820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130701000472 | NJ | Practitioner - Clinical Psychologist | 5092974428 | Practice locations: Little Silver, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
44 Sycamore Ave
Little Silver, NJ 07739-1242
Phone (732) 784-8820
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100506200 | NJ | MD | Clinical Psychologist |
| 019323 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Living LLC Dba Tara Kakaty | Clinical | Past | Accepting new patients |
| Shore Psychological Healthcare LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Little Silver, NJ
- NPI 1538556790
-
- Clinical Psychologist
- Brick, NJ
- NPI 1477563534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1477826634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 SYCAMORE AVENUE",
"address_2": "SUITE 3D",
"city": "LITTLE SILVER",
"state": "NJ",
"postal_code": "07739",
"telephone_number": "732-784-8820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 SYCAMORE AVE STE 3D",
"city": "LITTLE SILVER",
"state": "NJ",
"postal_code": "077391242",
"telephone_number": "732-784-8820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAKATY",
"first_name": "TARA",
"middle_name": "MARIE",
"credential": "PSYD, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "019323",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35S100506200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Silver, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.