Dana Takamoto, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY19165 Issued in CA

Practice address

1826 S Elena Ave Ste C
Redondo Beach, CA 90277-5718

Phone

(310) 375-3553

Fax

(424) 271-9099

NPI assigned

Aug 31, 2006

Last updated

Sep 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2025 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1770694465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4038 W 175TH PL",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043116",
            "telephone_number": "310-375-3553",
            "fax_number": "424-271-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 S ELENA AVE STE C",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775718",
            "telephone_number": "310-375-3553",
            "fax_number": "424-271-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAMOTO",
        "first_name": "DANA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Swift
• Grace J Syn, DC
• Nguyen Bich Ta
• Tamisha Shawndis Tague, SPA 2013
• Colin Kaz Takahashi, MMFT, LMFT
• Taking Time: South Bay
• Trisha Lynn Tanaka, M.S., SLP
• Caleb Tang, OD
• Mai Tang
• M. Lourdes Tapia, MA, MFT INTERN

• Clinical Psychologist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.