Tacie Lee Vergara, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS015770 Issued in PA

Practice address

8200 Flourtown Ave FRNT 1a
Wyndmoor, PA 19038-7969

Phone

(215) 948-3858

Fax

(215) 842-2955

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1295852846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W HAINES ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443319",
            "telephone_number": "215-680-2365",
            "fax_number": "215-842-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 FLOURTOWN AVE FRNT 1A",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387969",
            "telephone_number": "215-948-3858",
            "fax_number": "215-842-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGARA",
        "first_name": "TACIE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tender Care Hospice PA LLC
• Erik Timby, M.S.
• Gregory Joseph Tramuta, M.D.
• Tu Salud
• Vanguard Psychological Associates, P.C.
• Shawn Lee Vogel, MPT
• Gary D Vogin, MD
• Brieann H Wall, MT-BC
• Barton Eden Weitzman, O.T.R./L
• Gail Cara Welkes, LCSW

• Clinical Psychologist in Wyndmoor, PA
• Providers in Wyndmoor, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.