Taro Augustus Kurusu, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8365 Issued in FL

Practice address

6541 Specker Ave
Fort Carson, CO 80913-4263

Phone

(719) 526-7155

NPI assigned

Dec 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthcare Services Inc

  • Multi-Specialty Clinic/Center
  • La Follette, TN
  • NPI 1881671212

  Clinical

  NPD (past)

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1952385940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6541 SPECKER AVE",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134263",
            "telephone_number": "719-526-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6541 SPECKER AVE",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134263",
            "telephone_number": "719-526-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURUSU",
        "first_name": "TARO",
        "middle_name": "AUGUSTUS",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8365",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TN",
            "license": "2316",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "680014816",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-TN",
            "identifier": "4065356",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARITEN HEALTHCARE",
            "identifier": "702017316",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "476464000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNDEERE HEALTHCARE",
            "identifier": "TN0102",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4039014",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "476464000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reed Barrett Kuehn, M.D.
• Zachary Kufahl, CRNA
• Kenneth D. Kuhn, MD
• Bryan Kujawa, MD
• Jamie Lee Kuntz, LCSW
• Andrew Michael Kusienski, D.O.
• Cameron Labban, DO
• Mary Christa Virginia Lamotte, EFDA
• Yasuko Yamamoto Landrum, PHD
• Steven G Lang, MD

• Clinical Psychologist in Fort Carson, CO
• Providers in Fort Carson, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.