Individual provider Active NPI

Megan Tsutakawa

  • Clinical Psychologist
  • Burbank, CA
National Provider Identifier
1659041895
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36031 Issued in CA
Practice address
500 E Olive Ave Ste 540
Burbank, CA 91501-2132
Phone
(818) 446-2522
NPI assigned
Sep 19, 2021
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 36031 CA Primary

Addresses

Primary practice location

500 E Olive Ave Ste 540
Burbank, CA 91501-2132

Mailing address

500 E Olive Ave Ste 540
Burbank, CA 91501-2132
Phone (818) 446-2522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20251014001640 CA Practitioner - Clinical Psychologist 1052808045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

500 E Olive Ave
Suite 540
Burbank, CA 91501-2132
Phone (818) 446-2238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36031CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rowan Center for Behavioral Medicine, a Psychological Corporation CurrentSince Sep 26, 2025 Accepting new patients
Rowan Center for Behavioral Medicine, a Psychological Corporation CurrentSince Sep 26, 2025 Accepting new patients

Locations

500 E Olive Ave
Ste 540
Burbank, CA 91501
Phone (818) 446-2238

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1632009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1659041895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E OLIVE AVE STE 540",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012132",
            "telephone_number": "818-446-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E OLIVE AVE STE 540",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012132",
            "telephone_number": "818-446-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUTAKAWA",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-19",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "36031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.