Organization Active NPI

Child and Adult Psychiatrists of the Peninsula

  • Psychiatry Physician
  • San Mateo, CA
National Provider Identifier
1528103561
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CHILD AND ADULT PSYCHIATRISTS OF THE PENINSULA
Practice address
215 N San Mateo Dr
Suite 2
San Mateo, CA 94401-2622
Phone
(650) 348-4900
NPI assigned
Feb 20, 2007
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Jason Takeuchi, M.D.NPI 1265593602
Title
President
Phone
(650) 348-4900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

215 N San Mateo Dr
Suite 2
San Mateo, CA 94401-2622

Mailing address

215 N San Mateo Dr
Suite 2
San Mateo, CA 94401-2622
Phone (650) 349-9001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1528103561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N SAN MATEO DR",
            "address_2": "SUITE 2",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012622",
            "telephone_number": "650-349-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N SAN MATEO DR",
            "address_2": "SUITE 2",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012622",
            "telephone_number": "650-348-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND ADULT PSYCHIATRISTS OF THE PENINSULA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "TAKEUCHI",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-348-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.