Active NPI
Karen Tsukada, PH.D., ABPP
- Counseling Psychologist
- Newark, DE
National Provider Identifier
1619636925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- B1-0000754
- Practice address
- CCSD, 280 the Green
University of Delaware
Newark, DE 19716 - Phone
- (302) 893-0501
- NPI assigned
- Dec 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | B1-0000754 | DE | Primary |
Addresses
Primary practice location
CCSD, 280 the Green
University of Delaware
Newark, DE 19716
Mailing address
431 Haslett Rd
Joppa, MD 21085-4229
Phone (302) 893-0501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 26, 2024 through Sep 26, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B1-0000754 | DE | MD | Counseling Psychologist |
| 06748 | MD | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1619636925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 HASLETT RD",
"city": "JOPPA",
"state": "MD",
"postal_code": "210854229",
"telephone_number": "302-893-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CCSD, 280 THE GREEN",
"address_2": "UNIVERSITY OF DELAWARE",
"city": "NEWARK",
"state": "DE",
"postal_code": "19716",
"telephone_number": "302-893-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSUKADA",
"first_name": "KAREN",
"credential": "PH.D., ABPP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-14",
"last_updated": "2021-12-14",
"certification_date": "2021-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "DE",
"license": "B1-0000754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.