Organization Active NPI

S Curtis Takagishi PHD PA

  • Psychologist
  • Tampa, FL
National Provider Identifier
1932133089
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6420 Issued in FL
Legal business name
S CURTIS TAKAGISHI PHD PA
Practice address
13331 N 56TH St
Tampa, FL 33617-1161
Phone
(813) 690-8506
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Dr. Stanley Curtis Takagishi, PH.D.
Title
President
Phone
(813) 690-8506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY6420 FL Primary

Addresses

Primary practice location

13331 N 56TH St
Tampa, FL 33617-1161

Mailing address

10411 Lightner Bridge Dr
Tampa, FL 33626-1815
Phone (813) 690-8506

Other identifiers 1

IdentifierTypeStateIssuer
AF879OtherMEDICARE

National Provider Directory

National Provider Directory

Locations

13250 N 56th St
Ste 203
Temple Terrace, FL 33617
Phone (813) 860-8506

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1932133089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10411 LIGHTNER BRIDGE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261815",
            "telephone_number": "813-690-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13331 N 56TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336171161",
            "telephone_number": "813-690-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S CURTIS TAKAGISHI PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "TAKAGISHI",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-690-8506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AF879",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.