Active NPI
Tamer Fawzy
- Psychologist
- Bloomington, MN
National Provider Identifier
1154665735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 6300 W Old Shakopee Rd Ste 102
Bloomington, MN 55438-2684 - Phone
- (952) 800-2226
- Fax
- (317) 520-8200
- NPI assigned
- Nov 20, 2012
- Last updated
- Nov 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | Primary |
Addresses
Primary practice location
6300 W Old Shakopee Rd Ste 102
Bloomington, MN 55438-2684
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
2301 E 20th St
Farmington, NM 87401-8905
Phone (866) 273-2451
Other practice location 2
500 N Hudson St
Silver City, NM 88061-5435
Phone (866) 273-2451
Other practice location 3
1224 W 21st St
Clovis, NM 88101-4199
Phone (866) 273-2451
Other practice location 4
6565 Americas Pkwy NE Ste 200
Albuquerque, NM 87110-8172
Phone (866) 273-2451
Other practice location 5
950 W Aztec Ave
Gallup, NM 87301-6666
Phone (866) 273-2451
Other practice location 6
201 E Las Cruces Ave Ste 1501
Las Cruces, NM 88001-3488
Phone (866) 273-2451
Other practice location 7
2705 S Alma School Rd Ste 2
Chandler, AZ 85286-4400
Phone (866) 273-2451
Other practice location 8
221 N Kansas St Ste 700
El Paso, TX 79901-1444
Phone (866) 273-2451
Other practice location 9
301 N Canyon St
Carlsbad, NM 88220-5809
Phone (866) 273-2451
Other practice location 10
115 E College Blvd
Roswell, NM 88201-5158
Phone (866) 273-2451
Other practice location 11
1012 Marquez Pl Unit 106B
Santa Fe, NM 87505-1833
Phone (866) 273-2451
Other practice location 12
1408 8th St
Alamogordo, NM 88310-5115
Phone (862) 273-2451
Other practice location 13
100 Gossett Dr Ste B
Aztec, NM 87410-4529
Phone (866) 273-2451
Other practice location 14
201 N 4th St
Artesia, NM 88210-2168
Phone (866) 273-2451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, OK, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alliance Mental Health - Colorado LLC
Practice addresses (Care Compare)
2601 S Lemay Ave
Unit 41
Fort Collins, CO 80525-2297
Phone (303) 928-1051
5 Boroline Rd
Saddle River, NJ 07458-2343
Phone (918) 608-0380
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Counseling & Clinical Psychology Inc | Current | Accepting new patients | |
| Behavior Change Institute, LLC. | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Mental Health Counselor
- Edina, MN
- NPI 1356037246
-
- Mental Health Counselor
- Saddle River, NJ
- NPI 1255288080
-
- Mental Health Counselor
- Fort Collins, CO
- NPI 1770247702
-
dba YCO Alliance
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Claremore, OK
- NPI 1053602649
-
- Behavior Analyst
- Alamogordo, NM
- NPI 1730517889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1154665735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 W OLD SHAKOPEE RD STE 102",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554382684",
"telephone_number": "952-800-2226",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "2301 E 20th St",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "NM",
"postal_code": "874018905",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 N Hudson St",
"address_purpose": "LOCATION",
"city": "Silver City",
"state": "NM",
"postal_code": "880615435",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1224 W 21st St",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "NM",
"postal_code": "881014199",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6565 Americas Pkwy NE Ste 200",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871108172",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "950 W Aztec Ave",
"address_purpose": "LOCATION",
"city": "Gallup",
"state": "NM",
"postal_code": "873016666",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 E Las Cruces Ave Ste 1501",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880013488",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2705 S Alma School Rd Ste 2",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852864400",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "221 N Kansas St Ste 700",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799011444",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 N Canyon St",
"address_purpose": "LOCATION",
"city": "Carlsbad",
"state": "NM",
"postal_code": "882205809",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 E College Blvd",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "NM",
"postal_code": "882015158",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1012 Marquez Pl Unit 106B",
"address_purpose": "LOCATION",
"city": "Santa Fe",
"state": "NM",
"postal_code": "875051833",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1408 8th St",
"address_purpose": "LOCATION",
"city": "Alamogordo",
"state": "NM",
"postal_code": "883105115",
"country_code": "US",
"telephone_number": "862-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Gossett Dr Ste B",
"address_purpose": "LOCATION",
"city": "Aztec",
"state": "NM",
"postal_code": "874104529",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 N 4th St",
"address_purpose": "LOCATION",
"city": "Artesia",
"state": "NM",
"postal_code": "882102168",
"country_code": "US",
"telephone_number": "866-273-2451",
"fax_number": "866-608-5560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAWZY",
"first_name": "TAMER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-20",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.