Organization Active NPI

Tuckman Psychological Services PC

  • Clinical Psychologist
  • West Chester, PA
National Provider Identifier
1346836020
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
TUCKMAN PSYCHOLOGICAL SERVICES PC
Practice address
203 W Chestnut St
West Chester, PA 19380-2517
Phone
(610) 430-1430
Fax
(610) 344-7760
NPI assigned
Dec 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Heather Tuckman, PSYDNPI 1306081104
Title
President
Phone
(484) 356-6747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

203 W Chestnut St
West Chester, PA 19380-2517

Mailing address

203 W Chestnut St
West Chester, PA 19380-2517
Phone (610) 430-1430

National Provider Directory

National Provider Directory

Locations

203 W Chestnut St
West Chester, PA 19380
Phone (484) 779-8354

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1346836020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W CHESTNUT ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193802517",
            "telephone_number": "610-430-1430",
            "fax_number": "610-344-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W CHESTNUT ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193802517",
            "telephone_number": "610-430-1430",
            "fax_number": "610-344-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKMAN PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "TUCKMAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-356-6747",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.