Shin Han Judy Tam

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

17911 Sky Park Cir Ste E
Irvine, CA 92614-4303

Phone

(949) 202-0257

NPI assigned

May 7, 2018

Reactivated

Jun 19, 2023

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

Other names 1

• Judy Tam Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1356830137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17192 MURPHY AVE, PO BOX 14115",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92623",
            "telephone_number": "949-732-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17911 SKY PARK CIR STE E",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144303",
            "telephone_number": "949-202-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "SHIN HAN JUDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "deactivation_date": "2023-05-04",
        "reactivation_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "TAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aryan Talle
• Alex Tam
• Ashley Tam
• Chloe Tam, RPH
• Hiu Man Tam, PT, DPT
• Robyn Tamanaha
• Tamara Hyland Licensed Marriage and Family Therapist, a Professional Corporation (Hyland & Associates Counseling Services)
• Tamara T. Kurmanalieva, PC (Tumesh for Optimal Health)
• Robert Tambini
• Noelle C Tamyo

• Behavior Technician in Irvine, CA
• Providers in Irvine, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.