Daniel Tucker, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

23827 Issued in CA

Practice address

14751 Plaza Dr
Suite F
Tustin, CA 92780-2702

Phone

(714) 884-9561

Fax

(714) 544-4472

NPI assigned

Oct 8, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17238/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inner Peace Psychotherapy, PC

  • Community/Behavioral Health Agency
  • Tustin, CA
  • NPI 1598179814
  Medicare reassignment Authorized official
• Pointer Psychotherapy, Inc

  • Clinical Psychologist
  • Tustin, CA
  • NPI 1962984013
  NPD (past)
• Richard Kennedy MD Inc

  • Pain Medicine (Anesthesiology) Physician
  • Arcadia, CA
  • NPI 1295804680
  NPD (past)
• Southern California Spine and Sport Medical Associates, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Newport Beach, CA
  • NPI 1902800543
  NPD (past)

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1053621177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14751 PLAZA DR",
            "address_2": "SUITE F",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802702",
            "telephone_number": "714-884-9561",
            "fax_number": "714-544-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14751 PLAZA DR",
            "address_2": "SUITE F",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802702",
            "telephone_number": "714-884-9561",
            "fax_number": "714-544-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "DANIEL",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-08",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "23827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "EM448Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Truong
• Elizabeth Tsai, D.O.
• Ya-Szu Tsao, PHYSICAL THERAPIST
• Raina Tsuda, DAOM, L.AC.
• Maria Emilia Tu, RPH
• Savannah Tucker
• Travis Wayne Tucker, D. C.
• Arthur Turk, MD
• Marisa Turner, M.D.
• Tustin Adhc LLC

• Psychologist in Tustin, CA
• Providers in Tustin, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.