Active NPI
Anne W Tax, PH.D.
- Psychologist
- Philadelphia, PA
National Provider Identifier
1316002009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS006053L
- Practice address
- 9733 Bustleton Ave
Suite 2N
Philadelphia, PA 19115-3201 - Phone
- (215) 887-7616
- NPI assigned
- Dec 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PS006053L | PA | Primary |
Addresses
Primary practice location
9733 Bustleton Ave
Suite 2N
Philadelphia, PA 19115-3201
Mailing address
1656 Susquehanna Rd
Rydal, PA 19046-1431
Phone (215) 887-8188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0510104000 | Other | PA | PERSONAL CHOICE |
| TA676609 | Other | PA | HIGHMARK BLUE CROSS |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071019000058 | PA | Practitioner - Clinical Psychologist | 2466548664 | Practice locations: Newtown, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
660 Newtown Yardley Rd
Newtown, PA 18940-1759
Phone (215) 947-3508
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS006053L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316002009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1656 SUSQUEHANNA RD",
"city": "RYDAL",
"state": "PA",
"postal_code": "190461431",
"telephone_number": "215-887-8188",
"fax_number": "215-887-9033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9733 BUSTLETON AVE",
"address_2": "SUITE 2N",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191153201",
"telephone_number": "215-887-7616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAX",
"first_name": "ANNE",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS006053L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "0510104000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE CROSS",
"identifier": "TA676609",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
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.
- 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.