DR. NICHOLAS ANDREW TANNER (NPI# 1942794920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942794920 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS ANDREW TANNER |
| Credential | PH.D. |
| Practice Address |
3141 N 3rd Ave Phoenix AZ 85013 |
| Mailing Address |
915 W Oregon Ave Phoenix AZ 85013-1941 |
| Practice Telephone | 6029141520 |
| Practice Fax Number | 6024705064 |
| Mailing Telephone | 9286074846 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY-004974 | AZ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7600 N 16th St Ste 110, Phoenix, AZ 850204446 | 9286074846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780992784 | Nicholas Alexander Tanner | Dentist | 509 Olive Way Ste 1024, Seattle, WA 98101 | 2010-09-24 |
| 1811157001 | Nicholas J Tanner | Dentist | 640 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2008-06-11 |
| 1164583332 | Nicholas J Tanner | Podiatrist | 526 N Mullan Rd, Ste B, Spokane, WA 99206-3853 | 2006-12-12 |
| Street Address |
3141 N 3RD AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006261 | Brenda Lue Sipes | Pediatrics | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2005-07-11 |
| 1609414481 | Emily Wirdzek | Physical Therapist | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2019-12-12 |
| 1235793118 | Harlyn V. Chacon | Social Worker | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2019-04-26 |
| 1225520760 | Olga Elena Fernandez-pereyra | Speech-Language Pathologist | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2018-05-31 |
| 1013427517 | Dominica Wilhemina Dieffenbach | Dietitian, Registered | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2017-10-10 |
| 1457860694 | Jennifer Lee Jaeckel | Social Worker | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2017-09-20 |
| 1518413012 | Margarita Romero | Dietitian, Registered | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2016-08-25 |
| 1871945097 | Courtney L. Ginter | Physical Therapist | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2016-07-12 |
| 1013362326 | Lauren M Zimmerman | Speech-Language Pathologist | 3141 N 3rd Ave, Phoenix, AZ 85013 | 2016-04-25 |
| 1790151884 | Claire Behnke | Physical Therapist | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2015-08-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1407319486 | Joan Ledvina Parr | Psychologist | 13 Glenbrook Dr, Phoenix, MD 21131-2007 | 2019-04-08 |
| 1720591365 | Think Psychological and Consulting Services Pllc | Psychologist | 2632 S 83rd Ave Ste 100-481, Phoenix, AZ 85043-7206 | 2017-11-06 |
| 1558880682 | Christine Breuer | Psychologist | 21630 N 19th Ave Ste B17, Phoenix, AZ 85027-2715 | 2017-09-09 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1225584030 | Sojourner Health | Psychologist | 2224 E Fillmore St, Phoenix, AZ 85006-3815 | 2016-08-31 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1982097614 | T. M. Barratt | Psychologist | 3550 N. Central Ave. Suite 1407, Phoenix, AZ 85012 | 2015-03-04 |
| 1003204827 | Melissa Ann Lake | Psychologist | 4552 W Cottontail Rd, Phoenix, AZ 85086-1449 | 2014-12-31 |
| 1699196915 | Deborah Gladding | Psychologist | 36625 N 18th St, Phoenix, AZ 85086-5715 | 2014-01-05 |
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| 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.