Individual provider Active NPI

Tashana Bednar

  • Clinical Psychologist
  • Palm Desert, CA
National Provider Identifier
1336976695
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
144534 Issued in CA
Practice address
73255 El Paseo Ste 18
Palm Desert, CA 92260-4249
Phone
(760) 385-3959
Fax
(760) 406-5621
NPI assigned
Sep 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 144534 CA Primary

Addresses

Primary practice location

73255 El Paseo Ste 18
Palm Desert, CA 92260-4249

Mailing address

34868 Mission Hills Dr
Rancho Mirage, CA 92270-1320
Phone (760) 408-6497

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
144534CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Refinery Integrated Wellness Services Marriage and Family Thera CurrentSince Sep 23, 2024 Accepting new patients

Locations

73255 El Paseo
Ste 18
Palm Desert, CA 92260
Phone (760) 238-0301

Organizations & group practices 1

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": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1336976695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34868 MISSION HILLS DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701320",
            "telephone_number": "760-408-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73255 EL PASEO STE 18",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604249",
            "telephone_number": "760-385-3959",
            "fax_number": "760-406-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDNAR",
        "first_name": "TASHANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "144534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.