Tami Loree Tucker, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY13887 Issued in CA

Practice address

26137 La Paz Rd Ste 230
Mission Viejo, CA 92691-5337

Phone

(949) 235-1115

NPI assigned

Jan 23, 2012

Last updated

Apr 8, 2014By the provider in NPPES

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Darrell Broaddus Psychological Services PC

  • Clinical Psychologist
  • Orangevale, CA
  • NPI 1215339650
  NPD (past)

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1407127467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30881 VIA ULTIMO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751760",
            "telephone_number": "949-235-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26137 LA PAZ RD STE 230",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915337",
            "telephone_number": "949-235-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "TAMI",
        "middle_name": "LOREE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mon-Ta Tsai, M.D.
• Asterios Tsimpas, M.D.
• Sofia Tuc
• Aaron Tucker
• Breanna Lynnae Tucker, LCSW
• Ashley Tupman
• Bret Everett Turecek
• Turning Point Treatment Center
• Turning Point Treatment Center, Inc
• Tyler Basen MD Inc

• Clinical Psychologist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.