Dr. Taiki Matsuura, PHD
Psychologist, Clinical in Orange, Connecticut
1538761713- Practice location
- 200 Edison RD, Orange, CT 06477-3602
- Phone
- 203-551-0132
- Fax
- —
- Last updated
- December 2, 2020
Taiki Matsuura is a Psychologist, Clinical based in Orange, CT. Taiki Matsuura practices in Orange, CT and has the professional credentials of PHD. The NPI Number for Taiki Matsuura is 1538761713 and holds a License No. 023957 (NY). The current practice location address for Taiki Matsuura is 200 Edison RD, Orange, CT 06477-3602 and can be reached out via phone at 203-551-0132.
Provider Profile Details
- NPI Number
- 1538761713
- Provider Name
- Taiki Matsuura
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 200 Edison RD, Orange, CT 06477-3602
- Phone Number
- 203-551-0132
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 12, 2020
- Last Update Date
- December 2, 2020
- Certification Date
- December 2, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Edison RD
Orange, CT 06477-3602 - City
- Orange
- State
- Connecticut
- Zip
- 06477-3602
- Phone Number
- 203-551-0132
Provider Business Mailing Address Details
- Address
- 200 Edison RD
Orange, CT 06477-3602 - City
- Orange
- State
- CT
- Zip
- 06477-3602
License Information
- License Number
- 023957
- License State
- NY
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Taiki Matsuura, PHD?
The NPI number of Dr. Taiki Matsuura, PHD is 1538761713. It was assigned on November 12, 2020 and is currently active in the NPPES registry.
What is the specialty of Dr. Taiki Matsuura, PHD?
Dr. Taiki Matsuura, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 023957.
Where does Dr. Taiki Matsuura, PHD practice?
The practice location is 200 Edison RD, Orange, CT 06477-3602. The office can be reached at 203-551-0132 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538761713 directly on the NPPES registry website.