Tamara Southerling, PH.D.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

PS017911 Issued in PA

Practice address

1518 Walnut St Ste 307
Philadelphia, PA 19102-3402

Phone

(215) 219-1701

NPI assigned

Sep 26, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

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  • NPI 1912979857
  NPD
• Rla Assessment and Consultation LLC

  • Psychologist
  • Philadelphia, PA
  • NPI 1619835360
  NPD (past)

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1346891728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 WALNUT ST STE 307",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023402",
            "telephone_number": "215-219-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 WALNUT ST STE 307",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023402",
            "telephone_number": "215-219-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHERLING",
        "first_name": "TAMARA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PA",
            "license": "PS017911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Philly Optical Inc.
• Eugenia Catarina South, MD
• Susan A Southard, CRNP
• Southeast Pennsylvania Emergency Physicians, LLC
• Barbara Southerland, NURSE PRACTITIONER
• Southern Comfort Living
• Daniel L Southren, MD
• Southwest Leadership Academy Charter School
• Southwest Nu-Stop, Inc.
• Southwood Home Services, LLC.

• School Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• School Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.