Active NPI
Tanya Andrea Oppenheimer, PSYD
- Psychologist
- Tampa, FL
National Provider Identifier
1235153875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6879
- Practice address
- 3308 W Dewey St
Mobile
Tampa, FL 33607-1517 - Phone
- (813) 966-8456
- Fax
- (813) 873-7650
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6879 | FL | Primary |
| Psychologist | 103T00000X | 18942 | CA | |
| Psychologist | 103T00000X | 16748 | NY |
Addresses
Primary practice location
3308 W Dewey St
Mobile
Tampa, FL 33607-1517
Mailing address
3308 W Dewey St
Tampa, FL 33607-1517
Phone (813) 966-8456
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6879 | FL | MD | Psychologist |
| 16748 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235153875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3308 W DEWEY ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336071517",
"telephone_number": "813-966-8456",
"fax_number": "813-873-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3308 W DEWEY ST",
"address_2": "MOBILE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336071517",
"telephone_number": "813-966-8456",
"fax_number": "813-873-7650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPPENHEIMER",
"first_name": "TANYA",
"middle_name": "ANDREA",
"name_prefix": "Ms.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "6879",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "18942",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "16748",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.