Individual provider Active NPI

Dara Tuckfelt-Spey, PSY.D.

  • Psychologist
  • Lighthouse Point, FL
National Provider Identifier
1053068403
Registry record updated Mar 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY8707 Issued in FL
Practice address
2433 NE 20TH Ter
Lighthouse Point, FL 33064-7733
Phone
(240) 620-1254
NPI assigned
Mar 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY8707 FL Primary

Addresses

Primary practice location

2433 NE 20TH Ter
Lighthouse Point, FL 33064-7733

Mailing address

2433 NE 20TH Ter
Lighthouse Point, FL 33064-7733
Phone (240) 620-1254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220714001869 FL Practitioner - Clinical Psychologist 7517348097 Practice locations: Lighthouse Point, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2433 NE 20TH Ter
Lighthouse Point, FL 33064-7733
Phone (240) 620-1254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1646524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646524800000",
    "number": "1053068403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 NE 20TH TER",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647733",
            "telephone_number": "240-620-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 NE 20TH TER",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647733",
            "telephone_number": "240-620-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKFELT-SPEY",
        "first_name": "DARA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-06",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

Verify at the official NPI Registry.