Individual provider Active NPI

Mark Allen Tipton, PSY. D.

  • Clinical Psychologist
  • Canyon, TX
National Provider Identifier
1093827776
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
38919 Issued in TX
Practice address
2032 10TH Ave Suite 4
Canyon, TX 79015
Phone
(806) 476-1440
Fax
(806) 476-1450
NPI assigned
Aug 31, 2006
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 38919 TX
Mental Health Counselor 101YM0800X 1144 WV
Psychologist 103T00000X 1144 WV
Clinical Psychologist 103TC0700X 38919 TX Primary

Addresses

Primary practice location

2032 10TH Ave Suite 4
Canyon, TX 79015

Mailing address

2032 10TH Ave Suite 4
Canyon, TX 79015
Phone (806) 476-1440

Other practice location 1

4925 Greenville Ave Ste 1050
Dallas, TX 75206-4084
Phone (214) 918-1999

Other practice location 2

8390 Lyndon B Johnson Fwy Ste 575
Dallas, TX 75243-1289
Phone (214) 918-1999

Other identifiers 1

IdentifierTypeStateIssuer
001722829OtherWVBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161115000362 WV Practitioner - Clinical Psychologist 7911286976 Reassigns benefits to 1 organization
I20210622000273 TX Practitioner - Clinical Psychologist 7911286976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carewright Clinical Services, PLLCGroup PAC ID 7315119518, 33 clinicians

Practice addresses (Care Compare)

4925 Greenville Ave
Suite 1050
Dallas, TX 75206-4084
Phone (214) 918-1999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38919TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Geriatric Services P C Clinical CurrentSince Jun 14, 2021 Accepting new patients
Tipton Psychological Services, PLLC Psychologist CurrentSince Apr 9, 2024 Accepting new patients
Carewright Clinical Services, PLLC Psychologist CurrentSince Jul 7, 2022 Accepting new patients
Taf Group, LLC PastSince Apr 1, 2024 Accepting new patients
Taf Group, LLC Mental Health PastSince Apr 1, 2024 Accepting new patients

Locations

4033 SW 51st Ave
Amarillo, TX 79109
Phone (806) 355-4488

4211 W Interstate 40
Ste 200
Amarillo, TX 79106
Phone (806) 350-5864

2302 10th Ave
Ste 4
Canyon, TX 79015
Phone (806) 476-1440

4925 Greenville Ave
Ste 1050
Dallas, TX 75206

8390 Lyndon B Johnson Fwy
Ste 575
Dallas, TX 75243

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1093827776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 10TH AVE SUITE 4",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "79015",
            "telephone_number": "806-476-1440",
            "fax_number": "806-476-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 10TH AVE SUITE 4",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "79015",
            "telephone_number": "806-476-1440",
            "fax_number": "806-476-1450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4925 Greenville Ave Ste 1050",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752064084",
            "country_code": "US",
            "telephone_number": "214-918-1999",
            "fax_number": "972-850-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8390 Lyndon B Johnson Fwy Ste 575",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752431289",
            "country_code": "US",
            "telephone_number": "214-918-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "38919",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "1144",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "1144",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001722829",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon, TX

Sources for this page

Verify at the official NPI Registry.