Individual provider Active NPI

Tara Marie Kakaty, PSYD, MS

  • Clinical Psychologist
  • Little Silver, NJ
National Provider Identifier
1477826634
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100506200 Issued in NJ
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
35S100506200NJMDClinical Psychologist
019323NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Living LLC Dba Tara Kakaty Clinical PastSince Jul 24, 2022 Accepting new patients
Shore Psychological Healthcare LLC Clinical PastSince Nov 1, 2016 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.

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

Verify at the official NPI Registry.