Tara Eddy, M.S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

3685 Issued in CA

Practice address

15260 Ventura Blvd FL 12
Sherman Oaks, CA 91403-5334

Phone

(203) 921-7037

NPI assigned

Feb 24, 2018

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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1519430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1396246393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15234 LA MAIDA ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031920",
            "telephone_number": "203-921-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15260 VENTURA BLVD FL 12",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035334",
            "telephone_number": "203-921-7037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15234 La Maida St",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914031920",
            "country_code": "US",
            "telephone_number": "203-921-7037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1137 2nd St Ste 213",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904035076",
            "country_code": "US",
            "telephone_number": "203-921-7037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDDY",
        "first_name": "TARA",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "3685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E.I. Marriage and Family Therapy, Inc. (Empathetic Insights)
• Earthside Maternal Care, Inc
• Shahab Ebrahimian, DDS
• Michele Economou, M.A.
• Eddie Siman DDS Inc (Millennium Dental)
• Eder Home Health Care Inc
• Eder Hospice Care, Inc.
• Edward D Betz MD a Medical Corporation
• Edwin Haronian, M D. Inc.
• Tala Eftekhari, DDS

• School Psychologist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.