Individual provider Active NPI

Tamara Lynn Elkins, PH.D.

  • Rehabilitation Psychologist
  • Modesto, CA
National Provider Identifier
1073671228
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
License
PSY15916 Issued in CA
Practice address
802 14TH St
Ste G
Modesto, CA 95354-1029
Phone
(209) 521-4334
Fax
(209) 521-4334
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY15916 CA
Rehabilitation Psychologist 103TR0400X PSY15916 CA Primary

Addresses

Primary practice location

802 14TH St
Ste G
Modesto, CA 95354-1029

Mailing address

802 14TH St
Suite G
Modesto, CA 95354-1029
Phone (209) 521-4334

Other identifiers 1

IdentifierTypeStateIssuer
PSY159160MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20031201000853 CA Practitioner - Clinical Psychologist 4981509106 Practice locations: Modesto, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of North Texas HSC, College of Osteopathic Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

802 14TH St
Suite G
Modesto, CA 95354-1029

802 14TH St G
Modesto, CA 95354-1029
Phone (209) 521-4334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY15916CAMDRehabilitation Psychologist
15916CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tammy Elkins, PHD Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073671228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 14TH ST",
            "address_2": "SUITE G",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541029",
            "telephone_number": "209-521-4334",
            "fax_number": "209-521-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 14TH ST",
            "address_2": "STE G",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541029",
            "telephone_number": "209-521-4334",
            "fax_number": "209-521-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "TAMARA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15916",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "CA",
            "license": "PSY15916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY159160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.