DR. AI IKUNAGA PSY.D.
NPI 1932486396
Psychologist - Clinical in Philadelphia, PA

Active since November 12, 2011PECOS EnrolledAccepts Medicare Assignment
1518 WALNUT ST, SUITE 607, PHILADELPHIA, PA 19102(267) 918-1428 Get Directions Write a Review

NPPES record last updated: August 4, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Ai Ikunaga Psy.d. NPPES

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

DR. AI IKUNAGA PSY.D. (NPI 1932486396) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS016968) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1932486396
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. AI IKUNAGACredential: PSY.D.
Location Address1518 WALNUT ST, SUITE 607Philadelphia, PA 19102-3419
Mailing Address1518 Walnut St, Suite 607Philadelphia, PA 19102-3419 · (267) 918-1428
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 12, 2011
Last NPPES UpdateAugust 4, 2014
✔ NPI 1932486396 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 PA · PS016968
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.
1518 WALNUT ST, Philadelphia, PA 19102

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ai Ikunaga Psy.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 ID2365717816
PECOS Enrollment IDI20171009002649
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 Ai Ikunaga reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Hospital
4200 MONUMENT RD
Philadelphia, PA 19131
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 52 clinicians in this Medicare group
Psychiatry
4200 MONUMENT AVE
Philadelphia, PA 19131
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group

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 19102 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 20

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

Psychologist (Clinical)
1518 WALNUT ST, SUITE 601
PHILADELPHIA, PA 19102
Counselor (Mental Health)
1518 WALNUT ST, SUITE 607
PHILADELPHIA, PA 19102
Social Worker
1518 WALNUT ST
PHILADELPHIA, PA 19102
Psychologist (Clinical)
1518 WALNUT ST, SUITE 307
PHILADELPHIA, PA 19102
Counselor (Mental Health)
1518 WALNUT ST
PHILADELPHIA, PA 19102
Social Worker (Clinical)
1518 WALNUT ST, STE.607
PHILADELPHIA, PA 19102
Counselor (Professional)
1518 WALNUT ST
PHILADELPHIA, PA 19102
Psychologist (Clinical)
1518 WALNUT ST, #307
PHILADELPHIA, PA 19102

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 Ai Ikunaga's NPI number?

The NPI number for Ai Ikunaga is 1932486396. It was assigned to this individual provider in the NPPES registry on November 12, 2011.

Where is Ai Ikunaga located?

Ai Ikunaga practices at 1518 Walnut St Suite 607, Philadelphia, PA 19102. The listed phone number is (267) 918-1428.

What is Ai Ikunaga's specialty?

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

Is Ai Ikunaga enrolled in Medicare?

Yes. Ai Ikunaga 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.

Which organizations bill Medicare for Ai Ikunaga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ai Ikunaga reassigns Medicare benefits to 2 organizations: Belmont Behavioral Hospital, LLC (Philadelphia, PA) and Einstein Practice Plan Inc (Philadelphia, PA). 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 Ai Ikunaga'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 Ai Ikunaga was last updated on August 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.