DR. KEIKO KAY IKEDA PH.D.
NPI 1154548220
Psychologist in Los Angeles, CA

Active since April 19, 2007PECOS EnrolledAccepts Medicare Assignment
420 E 3RD ST STE 601, LOS ANGELES, CA 90013(213) 680-2696(213) 680-2696 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Keiko Kay Ikeda Ph.d. NPPES

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

DR. KEIKO KAY IKEDA PH.D. (NPI 1154548220) is an individual psychologist in Los Angeles, California, licensed in California (PSY9096) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1154548220
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KEIKO KAY IKEDACredential: PH.D.
Location Address420 E 3RD ST STE 601Los Angeles, CA 90013-1645
Mailing Address420 E 3rd St Ste 601Los Angeles, CA 90013-1645 · (213) 680-2696 · Fax (213) 680-2696
Fax(213) 680-2696
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateApril 19, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1154548220 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 CA · PSY9096
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.
420 E 3RD ST STE 601, Los Angeles, CA 90013

Other Identifiers 1

Medicare UPINCP9096CA

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. Keiko Kay Ikeda 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 ID4082683073
PECOS Enrollment IDI20040927000917
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.

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 Keiko Ikeda's NPI number?

The NPI number for Keiko Ikeda is 1154548220. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Keiko Ikeda located?

Keiko Ikeda practices at 420 E 3rd St Ste 601, Los Angeles, CA 90013. The listed phone number is (213) 680-2696.

What is Keiko Ikeda's specialty?

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

Is Keiko Ikeda enrolled in Medicare?

Yes. Keiko Ikeda 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.

When was this NPI record last updated?

The NPPES record for Keiko Ikeda was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.