Active NPI
Mark Allen Tipton, PSY. D.
- Clinical Psychologist
- Canyon, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 38919
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001722829 | Other | WV | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38919 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Geriatric Services P C | Clinical | Current | Accepting new patients |
| Tipton Psychological Services, PLLC | Psychologist | Current | Accepting new patients |
| Carewright Clinical Services, PLLC | Psychologist | Current | Accepting new patients |
| Taf Group, LLC | Past | Accepting new patients | |
| Taf Group, LLC | Mental Health | Past | 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.
-
- Psychologist
- Dallas, TX
- NPI 1346525524
-
dba Deer Oaks Consultation Services
- Clinical Psychologist
- San Antonio, TX
- NPI 1134169287
-
- Psychologist
- Canyon, TX
- NPI 1235888728
-
dba Belington Clinic
- Federally Qualified Health Center (FQHC)
- Belington, WV
- NPI 1053347328
-
dba Professional Addiction Specialty Services
- Substance Use Disorder Rehabilitation Clinic/Center
- Amarillo, TX
- NPI 1154378925
-
dba Professional Counseling & Biofeedback Center
- Mental Health Counselor
- Amarillo, TX
- NPI 1861432502
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.