DR. DIMITRA A TAKOS PSY.D.
NPI 1982841953
Specialist in San Diego, CA

Q: What is Dimitra Takos's NPI number?

The NPI number for Dimitra Takos is 1982841953. It was assigned to this individual provider in the NPPES registry on January 13, 2009.

Q: What is Dimitra Takos's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: Is Dimitra Takos enrolled in Medicare?

No. Dimitra Takos has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Dimitra Takos was last updated on January 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 January 13, 2009Opted out of Medicare · through Apr 1, 2027

311 LAUREL ST, SAN DIEGO, CA 92101(619) 518-4994 Get Directions Write a Review

NPPES record last updated: January 13, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Dimitra A Takos Psy.d. NPPES

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

DR. DIMITRA A TAKOS PSY.D. (NPI 1982841953) is an individual specialist in San Diego, California, licensed in California (PSY 21903) and active in the NPI registry since January 2009. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1982841953

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. DIMITRA A TAKOSCredential: PSY.D.

Location Address311 LAUREL STSan Diego, CA 92101-1630

Mailing Address311 Laurel StSan Diego, CA 92101-1630 · (619) 518-4994

Phone(619) 518-4994

Sole ProprietorNo

Enumeration DateJanuary 13, 2009

✔ NPI 1982841953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · PSY 21903

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

311 LAUREL ST, San Diego, CA 92101

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Dimitra A Takos Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

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

PSYCHSANDIEGO

Psychologist (Clinical)