Nadya Lynn Kamla Tilluckdharry, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PY9152 Issued in FL

Practice address

5738 Canton CV Ste 110
Winter Springs, FL 32708-5037

Phone

(407) 457-7821

NPI assigned

Feb 4, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1013661503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5738 CANTON CV STE 110",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085037",
            "telephone_number": "407-457-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5738 CANTON CV STE 110",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085037",
            "telephone_number": "407-457-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLUCKDHARRY",
        "first_name": "NADYA",
        "middle_name": "LYNN KAMLA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY9152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thelma F. Lynch, RN, PH.D., PA
• Themobilept PLLC
• Therabuddies, LLC
• Max F Thompson III, PHARMD
• Thrive Enterprises, Inc
• Lisa Tipton, PT
• Mysha Veronica Tonge
• Rodolfo A Torres Jr., M.D.
• Totalwell Health Clinic PLLC
• Uyen Tran

• Clinical Child & Adolescent Psychologist in Winter Springs, FL
• Providers in Winter Springs, FL by specialty
• Clinical Child & Adolescent Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.