Laurie Ann Deckard-Tankersley, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006688 Issued in IL

Practice address

137 Mill Spring PL
Ormond Beach, FL 32174-4820

Phone

(773) 733-6629

Fax

(386) 463-2170

NPI assigned

Jun 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Sailor Health Medical PA

  • Psychologist
  • Coral Gables, FL
  • NPI 1841012960
  Medicare reassignment Care Compare group NPD
• Progressive Psychological Services

  • Clinical Psychologist
  • Ormond Beach, FL
  • NPI 1568949865
  NPD (past) Authorized official
• Conventions Psychiatry & Counseling, P.C.

  • Psychiatry Physician
  • Warrenville, IL
  • NPI 1053355289
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1083659445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 MILL SPRING PL",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744820",
            "telephone_number": "773-733-6629",
            "fax_number": "386-463-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MILL SPRING PL",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744820",
            "telephone_number": "773-733-6629",
            "fax_number": "386-463-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKARD-TANKERSLEY",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Kohen Dean, DMD
• Deanna K Springer M D P a
• Debbie Yost LCSW
• Deborah R. Zarajczyk, Ma and Associates, PA
• Liliana Decarvalho
• Nancy Deeb
• Chona M Degracia Wylie, MD
• Michael T. Dehler, BS, HAS, BC-HIS, ACA
• Regina D Deiparine, NLMT
• Delfin Healthcare, Inc.

• Clinical Psychologist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.