Active NPI
Joanne Takenaka, LPA
- Psychologist
- Magnolia, TX
National Provider Identifier
1902560485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 38968
- Practice address
- 8514 Tombron Grove Rd
Magnolia, TX 77354-3666 - Phone
- (346) 380-1244
- NPI assigned
- Oct 29, 2021
- Last updated
- Jan 22, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 38968 | TX | Primary |
Addresses
Primary practice location
8514 Tombron Grove Rd
Magnolia, TX 77354-3666
Mailing address
8514 Tombron Grove Rd
Magnolia, TX 77354-3666
Phone (346) 380-1244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38968 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1902560485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8514 TOMBRON GROVE RD",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773543666",
"telephone_number": "346-380-1244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8514 TOMBRON GROVE RD",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773543666",
"telephone_number": "346-380-1244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKENAKA",
"first_name": "JOANNE",
"credential": "LPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-29",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "38968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Magnolia, TX
- Sunny Smiles Pediatric Dentistry PLLC
- Sunshine Primary Care PA
- Susan Rhodes Enterprises, LLC (Home Health Specialists)
- Sweetbay Magnolia Shared Living LLC
- Asif Ali Syed, RPH
- Robert Mark Tamborello, DDS
- Andrea A Tate, ATC, LAT
- Warren Taylor
- Temple Faculty Practice Plan, Inc (Temple Faculty Radiology Texas)
- Edward L Terrasson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.