Active NPI
Timothy Mack Tays, PHD
- Clinical Psychologist
- Scottsdale, AZ
National Provider Identifier
1164487666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- AZ3519
- Practice address
- 15849 N 71St St
100
Scottsdale, AZ 85254-2179 - Phone
- (480) 281-1478
- Fax
- (480) 281-1500
- NPI assigned
- Apr 18, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | AZ3519 | AZ | Primary |
Addresses
Primary practice location
15849 N 71St St
100
Scottsdale, AZ 85254-2179
Mailing address
7324 E Ironwood CT
Scottsdale, AZ 85258-1230
Phone (480) 281-1478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ3519 | AZ | MD | Clinical Psychologist |
| 3519 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1164487666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7324 E IRONWOOD CT",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852581230",
"telephone_number": "480-281-1478",
"fax_number": "480-281-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15849 N 71ST ST",
"address_2": "100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852542179",
"telephone_number": "480-281-1478",
"fax_number": "480-281-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYS",
"first_name": "TIMOTHY",
"middle_name": "MACK",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "AZ3519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.