Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Takuya Minami

Individual provider Psychologist · NPI 1639297344

Takuya Minami is a Clinical Psychologist in Brattleboro, Vermont. Qualified in 2004, 22 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Utah and Vermont.

Years since qualifying
22
Licensed in
UT, VT
In the registry since
2007
Specialties on file
2

Practice location Address checks out

175 Western Ave
Brattleboro, VT 05301-6950
Phone: (802) 416-0160
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 048.0135139 (VT)
Psychologist Taxonomy 103T00000X · Licence 5729247-2501 (UT)

Record details

NPI number1639297344
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 27, 2007
Last updated in NPPESJune 7, 2025
Certification dateJune 7, 2025
Mailing address175 Western Ave, Brattleboro, VT 05301-6950

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Brattleboro