Active NPI
David Fay Tharp, PSY.D.
- Clinical Psychologist
- Waco, TX
National Provider Identifier
1053418756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32172
- Practice address
- 39 Independence TRL
Waco, TX 76708-9603 - Phone
- (979) 219-2160
- NPI assigned
- Sep 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 32172 | TX | Primary |
Addresses
Primary practice location
39 Independence TRL
Waco, TX 76708-9603
Mailing address
39 Independence TRL
Waco, TX 76708-9603
Phone (979) 219-2160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1053418756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 INDEPENDENCE TRL",
"city": "WACO",
"state": "TX",
"postal_code": "767089603",
"telephone_number": "979-219-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 INDEPENDENCE TRL",
"city": "WACO",
"state": "TX",
"postal_code": "767089603",
"telephone_number": "979-219-2160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THARP",
"first_name": "DAVID",
"middle_name": "FAY",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "32172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.