DR. RISA TAKARA PH.D.
NPI 1093390387
Psychologist in Orem, UT

Active since March 17, 2021PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2021, May 4, 2021, Mar 17, 2021 (3 updates tracked since 2021).

About Dr. Risa Takara Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RISA TAKARA PH.D. (NPI 1093390387) is an individual psychologist in Orem, Utah, licensed in Utah (8772962-2501) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093390387
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. RISA TAKARACredential: PH.D.
Location Address363 E 1200 SOrem, UT 84058-6904
Mailing Address363 E 1200 SOrem, UT 84058-6904 · (801) 224-2313
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 17, 2021
Last NPPES UpdateJuly 16, 20213 updates tracked since enumeration
NPPES CertifiedJuly 16, 2021
✔ NPI 1093390387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in UT · 8772962-2501
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
363 E 1200 S, Orem, UT 84058

Other Names 1

Professional Name (2)Dr. Risa Takara Ph.d.

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Risa Takara Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597174748
PECOS Enrollment IDI20210429001757
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Risa Takara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
363 E 1200 S, SUITE 201
Orem, UT 84058
  • Reassigned Medicare billing, Utah enrollment
  • 12 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
363 E 1200 S, SUITE 201
OREM, UT 84058
Psychologist (Clinical)
363 E 1200 S
OREM, UT 84058
Psychologist
363 E 1200 S, SUITE 201
OREM, UT 84058
Psychologist
363 E 1200 S, SUITE 201
OREM, UT 84058
Psychologist
363 E 1200 S, SUITE 201
OREM, UT 84058

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Risa Takara's NPI number?

The NPI number for Risa Takara is 1093390387. It was assigned to this individual provider in the NPPES registry on March 17, 2021. The provider is also known as Dr. Risa Takara Ph.D..

Where is Risa Takara located?

Risa Takara practices at 363 E 1200 S, Orem, UT 84058. The listed phone number is (801) 224-2313.

What is Risa Takara's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Risa Takara enrolled in Medicare?

Yes. Risa Takara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Risa Takara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Risa Takara reassigns Medicare benefits to Alliance Behavioral Psychology, LLC (Orem, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Risa Takara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Risa Takara accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Risa Takara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Risa Takara was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.