Active NPI
Joann T. Tschanz, PH.D.
- Clinical Neuropsychologist
- Logan, UT
National Provider Identifier
1366719601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 265231-2501
- Practice address
- 2810 Old Main Hill
Utah State University
Logan, UT 84322-2810 - Phone
- (435) 797-1457
- NPI assigned
- Nov 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 265231-2501 | UT | Primary |
| Clinical Psychologist | 103TC0700X | 265231-2501 | UT |
Addresses
Primary practice location
2810 Old Main Hill
Utah State University
Logan, UT 84322-2810
Mailing address
2810 Old Main Hill
Utah State University
Logan, UT 84322-2810
Phone (435) 797-1457
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 265231-2501 | UT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah State University | Past | Accepting new patients | |
| Utah State University | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Developmental Disabilities Clinic/Center
- Logan, UT
- NPI 1174694095
-
- Specialist
- Logan, UT
- NPI 1447715701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1366719601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 OLD MAIN HILL",
"address_2": "UTAH STATE UNIVERSITY",
"city": "LOGAN",
"state": "UT",
"postal_code": "843222810",
"telephone_number": "435-797-1457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 OLD MAIN HILL",
"address_2": "UTAH STATE UNIVERSITY",
"city": "LOGAN",
"state": "UT",
"postal_code": "843222810",
"telephone_number": "435-797-1457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSCHANZ",
"first_name": "JOANN",
"middle_name": "T.",
"name_prefix": "Prof.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "UT",
"license": "265231-2501",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "UT",
"license": "265231-2501",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.