1. Home
  2. Directory
  3. California
  4. Emeryville
  5. Psychologist
  6. NPI Profile

DR. PHILIP MARTIN TAKAKJIAN PH.D.
NPI 1225052889
Psychologist - Clinical in Emeryville, CA

Active since July 27, 2006PECOS Enrolled
1480 64TH ST STE 150, EMERYVILLE, CA 94608(415) 296-5290(415) 296-5299 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Philip Martin Takakjian Ph.d. NPPES

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

DR. PHILIP MARTIN TAKAKJIAN PH.D. (NPI 1225052889) is an individual clinical provider in Emeryville, California, licensed in California (PSY15142) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225052889
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. PHILIP MARTIN TAKAKJIANCredential: PH.D.
Location Address1480 64TH ST STE 150Emeryville, CA 94608-2267
Mailing Address1480 64th St Ste 150Emeryville, CA 94608-2267 · (415) 296-5290 · Fax (415) 296-5299
Phone(415) 296-5290
Fax(415) 296-5299
Sole ProprietorYes
Enumeration DateJuly 27, 2006
Last NPPES UpdateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
✔ NPI 1225052889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY15142
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1480 64TH ST STE 150, Emeryville, CA 94608
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Philip Martin Takakjian Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Philip Takakjian reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Santa Rosa Community Health Centers
46 mi
Federally Qualified Health Center (FQHC)
599 BELLEVUE AVE
Santa Rosa, CA 95407
  • Reassigned Medicare billing, California enrollment
  • 215 clinicians in this Medicare group
NPI 1871651273 (707) 528-5770
Ehab Yacoub MD Inc.
355 mi
Child & Adolescent Psychiatry
1225 W 190TH ST STE 280
Gardena, CA 90248
  • Reassigned Medicare billing, California enrollment
  • 375 clinicians in this Medicare group
NPI 1417373713 (310) 515-8113

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

PRISCILLA ELIZABETH BEAVERS-SILVA MSN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1480 64TH ST STE 150
EMERYVILLE, CA 94608
Alameda County (925) 282-1778
HEATHER D HELMKE PSYD
Psychologist (Clinical)
1480 64TH ST STE 150
EMERYVILLE, CA 94608
Alameda County (925) 282-1778
ELIZABETH RENEE MICHAUD LMFT
Marriage & Family Therapist
1480 64TH ST STE 150
EMERYVILLE, CA 94608
Alameda County (925) 282-1778
ANNA NAIRI MURADYAN LMFT
Marriage & Family Therapist
1480 64TH ST STE 150
EMERYVILLE, CA 94608
Alameda County (925) 282-1778
DR. CALVIN ANDREW TRAN MD
Psychiatry & Neurology (Psychiatry)
1480 64TH ST STE 150
EMERYVILLE, CA 94608
Alameda County (925) 282-1778
DR. RONALD W. PILATO PSYD
Psychologist (Clinical)
1480 64TH ST STE 150
EMERYVILLE, CA 94608
Alameda County (925) 282-1778
MOREMI ABENI GRAVESANDY VASSALL MD
Psychiatry & Neurology (Psychiatry)
1480 64TH ST STE 150
EMERYVILLE, CA 94608
Alameda County (925) 282-1778
DR. EUGENE HIGHTOWER PHD, LP
Psychologist (Clinical)
1480 64TH ST STE 150
EMERYVILLE, CA 94608
Alameda County (925) 282-1778

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 Philip Takakjian's NPI number?

The NPI number for Philip Takakjian is 1225052889. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Philip Takakjian located?

Philip Takakjian practices at 1480 64th St Ste 150, Emeryville, CA 94608. The listed phone number is (415) 296-5290.

What is Philip Takakjian's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Philip Takakjian enrolled in Medicare?

Yes. Philip Takakjian is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Philip Takakjian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Takakjian reassigns Medicare benefits to 2 organizations: Santa Rosa Community Health Centers (Santa Rosa, CA) and Ehab Yacoub MD Inc. (Gardena, CA). Each 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 Philip Takakjian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Philip Takakjian was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.