Individual provider Active NPI

Tanju Tumer Mishara, PH.D.

  • Clinical Psychologist
  • Key West, FL
National Provider Identifier
1295743649
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY3286 Issued in FL
Practice address
1205 4TH St
Key West, FL 33040-3707
Phone
(305) 292-6843
Fax
(305) 292-6723
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY3286 FL Primary

Addresses

Primary practice location

1205 4TH St
Key West, FL 33040-3707

Mailing address

1205 4TH St
Key West, FL 33040-3707
Phone (305) 292-6843

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

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1295743649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 4TH ST",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403707",
            "telephone_number": "305-292-6843",
            "fax_number": "305-292-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 4TH ST",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403707",
            "telephone_number": "305-292-6843",
            "fax_number": "305-292-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHARA",
        "first_name": "TANJU",
        "middle_name": "TUMER",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.