Individual provider Active NPI

Tasha Farrar, MD

  • Psychiatry Physician
  • Appleton, WI
National Provider Identifier
1316977192
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
54559-020 Issued in WI
Practice address
3301 N Ballard Rd Ste C
Appleton, WI 54911-9002
Phone
(920) 841-8326
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 042-0011157 VT
Psychiatry Physician 2084P0800X 042-0011157 VT
Psychiatry Physician 2084P0800X 54559-020 WI Primary

Addresses

Primary practice location

3301 N Ballard Rd Ste C
Appleton, WI 54911-9002

Mailing address

402 E Pacific St
Appleton, WI 54911-5069
Phone (802) 579-2252

Other identifiers 2

IdentifierTypeStateIssuer
54559-020OtherWISTATE LICENSE
042-0011157OtherVTSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902001119 WI Practitioner - PsychiatryPractitioner - Neurology 4284637166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
University of Nebraska College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Farrar and Associates Mental Health SCGroup PAC ID 4981031309, 9 clinicians

Practice addresses (Care Compare)

16 Tri Park Way
Appleton, WI 54914-1658
Phone (920) 841-8326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54559-020WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farrar and Associates Mental Health SC Psychiatry CurrentSince Feb 13, 2020 Accepting new patients
Brattleboro Retreat Past Accepting new patients

Locations

16 Tri Park Way
Appleton, WI 54914
Phone (920) 841-8326

3301 N Ballard Rd
Ste C
Appleton, WI 54911
Phone (920) 202-3954

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1316977192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E PACIFIC ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115069",
            "telephone_number": "802-579-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N BALLARD RD STE C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549119002",
            "telephone_number": "920-841-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "TASHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "VT",
            "license": "042-0011157",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042-0011157",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "54559-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "54559-020",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "042-0011157",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.