DR. TAKISHA M CORBETT PHD
NPI 1750631065
Psychologist - Health in San Diego, CA

Q: What is Takisha Corbett's NPI number?

The NPI number for Takisha Corbett is 1750631065. It was assigned to this individual provider in the NPPES registry on September 13, 2012. The provider is also known as Takisha M Mcneill.

Q: What is Takisha Corbett's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

Q: When was this NPI record last updated?

The NPPES record for Takisha Corbett was last updated on February 15, 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.

Active since September 13, 2012PECOS EnrolledAccepts Medicare Assignment

1901 1ST AVENUE STE 245, SAN DIEGO, CA 92101(858) 964-0722 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 15, 2021, Apr 2, 2020, Nov 8, 2019 (3 updates tracked since 2019).

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About Dr. Takisha M Corbett Phd NPPES

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

DR. TAKISHA M CORBETT PHD (NPI 1750631065) is an individual health provider in San Diego, California, licensed in California (31413) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1750631065

Entity TypeIndividualFemale

Primary Taxonomy103TH0004X

Provider Legal NameDR. TAKISHA M CORBETTCredential: PHD

Location Address1901 1ST AVENUE STE 245San Diego, CA 92101-9210

Mailing Address1901 1st Ave, Ste 245San Diego, CA 92101-0311

Phone(858) 964-0722

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 13, 2012

Last NPPES UpdateFebruary 15, 20213 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2021

✔ NPI 1750631065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · HealthBehavioral Health & Social Service Providers

Taxonomy Code103TH0004X

License✔ Licensed in CA · 31413

Definition

A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

1901 1ST AVENUE STE 245, San Diego, CA 92101

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Other Names 1

Former Name (1)Takisha M Mcneill

Secondary Practice Locations 2

Location 11720 E 120th StLos Angeles, CA 90059-3052 · Phone (310) 668-8119

Location 28950 Villa La Jolla DrLA Jolla, CA 92037-1714 · Phone (858) 534-2230

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. Takisha M Corbett Phd 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 ID9436589603

PECOS Enrollment IDI20200501000522

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 Takisha Corbett's NPI number?

The NPI number for Takisha Corbett is 1750631065. It was assigned to this individual provider in the NPPES registry on September 13, 2012. The provider is also known as Takisha M Mcneill.

Where is Takisha Corbett located?

Takisha Corbett practices at 1901 1st Avenue Ste 245, San Diego, CA 92101. The listed phone number is (858) 964-0722.

What is Takisha Corbett's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

Is Takisha Corbett enrolled in Medicare?

Yes. Takisha Corbett 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 Takisha Corbett was last updated on February 15, 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.