TAKUYA MINAMI
NPI 1639297344
Psychologist in Brattleboro, VT

Active since March 27, 2007PECOS Enrolled
175 WESTERN AVE, BRATTLEBORO, VT 05301(802) 416-0160 Get Directions Write a Review

NPPES record last updated: June 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Takuya Minami NPPES

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

TAKUYA MINAMI (NPI 1639297344) is an individual psychologist in Brattleboro, Vermont, licensed in Vermont (048.0135139) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1639297344
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameTAKUYA MINAMI
Location Address175 WESTERN AVEBrattleboro, VT 05301-6950
Mailing Address175 Western AveBrattleboro, VT 05301-6950 · (802) 416-0160
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 27, 2007
Last NPPES UpdateJune 7, 2025
NPPES CertifiedJune 7, 2025
NPI 1639297344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in VT · 048.0135139 Licensed in UT · 5729247-2501
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.
175 WESTERN AVE, Brattleboro, VT 05301

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 (PECOS)

Takuya Minami is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971005240
PECOS Enrollment IDI20250905002322
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 Takuya Minami's NPI number?

The NPI number for Takuya Minami is 1639297344. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Takuya Minami located?

Takuya Minami practices at 175 Western Ave, Brattleboro, VT 05301. The listed phone number is (802) 416-0160.

What is Takuya Minami's specialty?

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

Is Takuya Minami enrolled in Medicare?

Yes. Takuya Minami is registered in the Medicare PECOS enrollment system.

What insurance does Takuya Minami accept?

Health plans from Anthem Blue Cross and Blue Shield list Takuya Minami 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 Takuya Minami was last updated on June 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.