David L Tarrasch, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

00194 Issued in MO

Practice address

2200 E Sunshine St
Ste 332
Springfield, MO 65804-1886

Phone

(417) 877-7500

Fax

(417) 877-7600

NPI assigned

Jan 27, 2006

Sex

Male

Sole proprietor

No

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 MO

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, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1093786246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E SUNSHINE ST",
            "address_2": "STE 332",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041886",
            "telephone_number": "417-877-7500",
            "fax_number": "417-877-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E SUNSHINE ST",
            "address_2": "STE 332",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041886",
            "telephone_number": "417-877-7500",
            "fax_number": "417-877-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARRASCH",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "00194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498203801",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jon Patrick Tallerico, DPT
• Robin Talley, M.D.
• Jill Marie Tam, MA, LPC
• Jian Liang Tan, MD
• Raymund Rabara Tan, MD
• Sean P Tarsney, MD
• Ashanti Tate
• Candace J Tate, PSYD, LP
• Ellie Tate, BCBA, LBA
• Gabrielle Tate

• Psychologist in Springfield, MO
• Providers in Springfield, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.