TAKUYA MINAMI


Address: 305 Education Building, 1000 Bascom Mall, Counseling Psychology, University of Wisconsin-madison, Madison, WI 53706
Phone: 6082633753

TAKUYA MINAMI (NPI# 1639297344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639297344
Entity Type Individual
Full Name TAKUYA MINAMI
Practice Address 305 Education Building, 1000 Bascom Mall
Counseling Psychology, University of Wisconsin-madison
Madison
WI 53706
Practice Telephone 6082633753
Mailing Telephone 6082633753
Enumeration Date 2007-03-27
Last Update Date 2012-06-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 5729247-2501 UT Behavioral Health & Social Service Providers

Office Location

Street Address 305 EDUCATION BUILDING, 1000 BASCOM MALL
COUNSELING PSYCHOLOGY, UNIVERSITY OF WISCONSIN-MADISON
City MADISON
State WI
Zip Code 53706

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy 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.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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City MADISON
Zip Code 53706

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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