Individual provider Active NPI

Dennis Tansley, PH.D.

  • Psychologist
  • Wpafb, OH
National Provider Identifier
1124190061
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1425 Issued in AL
Practice address
4881 Sugar Maple Dr
88 Mdos-Sgohc
Wpafb, OH 45433-5546
Phone
(937) 257-1296
Fax
(937) 656-1192
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1425 AL Primary

Addresses

Primary practice location

4881 Sugar Maple Dr
88 Mdos-Sgohc
Wpafb, OH 45433-5546

Mailing address

4881 Sugar Maple Dr
88 Mdos-Sgohc
Wpafb, OH 45433-5546
Phone (937) 257-1296

Other identifiers 1

IdentifierTypeStateIssuer
1425OtherALPSYCHOLIOGIST LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1425ALMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124190061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "address_2": "88 MDOS-SGOHC",
            "city": "WPAFB",
            "state": "OH",
            "postal_code": "454335546",
            "telephone_number": "937-257-1296",
            "fax_number": "937-656-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "address_2": "88 MDOS-SGOHC",
            "city": "WPAFB",
            "state": "OH",
            "postal_code": "454335546",
            "telephone_number": "937-257-1296",
            "fax_number": "937-656-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANSLEY",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "1425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLIOGIST LICENSE #",
            "identifier": "1425",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wpafb, OH

Sources for this page

Verify at the official NPI Registry.