Traci Ann Taber, PHD, BCBA-D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY-005142 Issued in AZ

Practice address

4647 N 32ND St Ste 255
Phoenix, AZ 85018-3344

Phone

(602) 489-3985

NPI assigned

Mar 21, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Turning Point Psychological Services PLLC

  • Psychologist
  • Phoenix, AZ
  • NPI 1740871078
  NPD Authorized official
• Hopebridge LLC

  • Child & Adolescent Psychiatry Physician
  • Phoenix, AZ
  • NPI 1134703101

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1053686154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 MYRTLE ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394014851",
            "telephone_number": "661-565-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 N 32ND ST STE 255",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183344",
            "telephone_number": "602-489-3985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 N 3rd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850041495",
            "country_code": "US",
            "telephone_number": "602-922-6760",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABER",
        "first_name": "TRACI",
        "middle_name": "ANN",
        "credential": "PHD, BCBA-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "PSY-005142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baharak Tabarsi, M.D.
• Evan B Taber, M.D.
• Kimberly S Taber
• Louise A Taber, M.D.
• Mindy Tatera Taber, MD
• Kelly Tabet, LCSW
• Ryan Daniel Tabis, PHARM.D.
• Helena Taboy
• William Tacchi, OT/L
• Sara Tackett, M.A., BCBA, LBA

• Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.