Tahja R McDowell, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY22742 Issued in CA

Practice address

770 Magnolia Ave
1F
Corona, CA 92879-3120

Phone

(951) 737-1917

Fax

(951) 735-4105

NPI assigned

Dec 4, 2009

Sex

Female

Sole proprietor

No

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 CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Orange Psychiatric Medical Group, Inc

  • Psychiatry Physician
  • Corona, CA
  • NPI 1225383763
  Medicare reassignment

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1346578184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 MAGNOLIA AVE",
            "address_2": "1F",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793120",
            "telephone_number": "951-737-1917",
            "fax_number": "951-735-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MAGNOLIA AVE",
            "address_2": "1F",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793120",
            "telephone_number": "951-737-1917",
            "fax_number": "951-735-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "TAHJA",
        "middle_name": "R",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY22742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Ann McDonald, R.N.
• Parker Elias McDonald
• Taylor McDonald, ATC
• Mitchell Albert McDowell, DO
• Olivia McDowell
• Phillip McElroy
• Tanya McFadden
• Laura McGinn
• Shameka McGowan-Davis, NP
• Marco McGuthrie

• Psychologist in Corona, CA
• Providers in Corona, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.