Active NPI
Tania Stephanie Ghazzara, PSYD
- Clinical Psychologist
- Harlingen, TX
National Provider Identifier
1508575275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-2027-0
- Practice address
- 2601 Veterans Dr
Harlingen, TX 78550-8942 - Phone
- (956) 291-9000
- NPI assigned
- Nov 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY-2027-0 | HI | Primary |
Addresses
Primary practice location
2601 Veterans Dr
Harlingen, TX 78550-8942
Mailing address
1300 Lowe Rd Unit 5209
Mansfield, TX 76063-8739
Phone (305) 215-7285
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-2027-0 | HI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1508575275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 LOWE RD UNIT 5209",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638739",
"telephone_number": "305-215-7285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 VETERANS DR",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508942",
"telephone_number": "956-291-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAZZARA",
"first_name": "TANIA",
"middle_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-21",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY-2027-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.