Individual provider Active NPI

Tara Garrett, LCSW, PSY.D.

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1093981524
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31408 Issued in CA
Practice address
1125 W 6TH St
Suite 103
Los Angeles, CA 90017-1833
Phone
(213) 202-3970
NPI assigned
May 5, 2008
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS25646 CA
Clinical Psychologist 103TC0700X 31408 CA Primary

Addresses

Primary practice location

1125 W 6TH St
Suite 103
Los Angeles, CA 90017-1833

Mailing address

44750 60TH St W
Lancaster, CA 93536-7619
Phone (661) 729-2000

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
I20231019000862 CA Practitioner - Clinical Psychologist 1052767555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guided Growth Therapy GroupGroup PAC ID 9739521725, 8 clinicians

Practice addresses (Care Compare)

Santa Clarita, CA 91390
Phone (661) 450-7558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS25646CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Guided Growth Therapy Group a Psychology Corporation Clinical CurrentSince Jul 12, 2025 Accepting new patients
Corrections and Rehabilitation-Headquarters CurrentSince Jun 18, 2023 Accepting new patients
Guided Growth Therapy Group Clinical CurrentSince Oct 3, 2024 Accepting new patients

Locations

1603 California Ave
Ste 137
Bakersfield, CA 93304
Phone (661) 404-4123

1801 Julian Ave
Bakersfield, CA 93304
Phone (661) 831-9150

44750 60th St W
Lancaster, CA 93536
Phone (661) 729-2000

Organizations & group practices 3

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": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1093981524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44750 60TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935367619",
            "telephone_number": "661-729-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W 6TH ST",
            "address_2": "SUITE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171833",
            "telephone_number": "213-202-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "TARA",
        "credential": "LCSW, PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS25646",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "31408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.