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: August 02, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.