Individual provider Active NPI

Joann T. Tschanz, PH.D.

  • Clinical Neuropsychologist
  • Logan, UT
National Provider Identifier
1366719601
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
265231-2501 Issued in UT
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

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
265231-2501UTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Utah State University Past Accepting new patients
Utah State University PastSince Dec 15, 2019 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.

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.

Verify at the official NPI Registry.