Tamra Ann Fagan, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P0000001827 Issued in TN

Practice address

211 Cool Springs Blvd
Franklin, TN 37067-7242

Phone

(800) 632-6074

Fax

(866) 341-7509

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Tamra Ann Ogan Former name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Vanderbilt University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Key Rehabilitation Inc 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Key Rehabilitation Inc

  • Clinical Psychologist
  • Hendersonville, TN
  • NPI 1528136249

  Clinical, TN

  Medicare reassignment Care Compare group NPD
• Key Rehabilitation, Inc

  • Clinical Psychologist
  • Fargo, ND
  • NPI 1679328975

  Clinical

  Care Compare group NPD
• Key Rehabilitation Inc

  • Rehabilitation Hospital Unit
  • Grand Island, NE
  • NPI 1902923014
  Care Compare group
• Key Rehabilitation, Inc

  • Psychologist
  • Gardner, KS
  • NPI 1205106457
  Care Compare group
• Key Rehabilitation, Inc

  • Physical Therapist
  • Waukee, IA
  • NPI 1265639033
  Care Compare group
• Key Rehabilitation, Inc

  • Clinical Psychologist
  • McIntosh, MN
  • NPI 1295436970
  Care Compare group
• Key Rehabilitation, Inc

  • Physical Therapist
  • Elk Point, SD
  • NPI 1548126980
  Care Compare group
• Key Rehabilitation, Inc

  • Psychologist
  • Dewey, OK
  • NPI 1558768051
  Care Compare group
• Key Rehabilitation,Inc.

  • Psychologist
  • Salem, MO
  • NPI 1821335613
  Care Compare group
• Paradigm Health Services, Inc

  • Mental Health Counselor
  • Clearwater, FL
  • NPI 1578519146
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508967845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10414",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337730414",
            "telephone_number": "800-632-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 COOL SPRINGS BLVD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677242",
            "telephone_number": "800-632-6074",
            "fax_number": "866-341-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "TAMRA",
        "middle_name": "ANN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000001827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4057799",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3982871",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMRA",
            "last_name": "OGAN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eyecare Plus CS PLLC
• Eyecare Revolution LLC
• Eyecare Specialties, LLC
• Joshua Matt Ezell, ATC
• Lori Ann Fagan, P.T.
• Molly McGill Fahey
• Katherine Ann Faliski
• Family Care Center, LLC
• Family Vision Care of Cool Springs, LLC
• Mia Faragalli, DPT

• All providers in Franklin, TN
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.