NPIMap

Organization Active NPI

Tammy a Ouellette Psy.D. Apc

  • Psychologist
  • Fullerton, CA
National Provider Identifier
1528246394
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY20145 Issued in CA
Legal business name
TAMMY A OUELLETTE PSY.D. APC
Practice address
1370 Brea Blvd
Suite 210
Fullerton, CA 92835-4125
Phone
(714) 732-1773
Fax
(714) 441-1761
NPI assigned
Feb 4, 2008
Last updated
Sep 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Dr. Tammy Ann Ouellette, PSY.D.NPI 1669432589
Title
Clinical Psychologist/Ceo
Phone
(714) 732-1773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY20145 CA Primary

Addresses

Primary practice location

1370 Brea Blvd
Suite 210
Fullerton, CA 92835-4125

Mailing address

1370 Brea Blvd
Suite 210
Fullerton, CA 92835-4125
Phone (714) 732-1773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080213000196 CA Part B Supplier - Clinic/Group Practice 1951484054 Receives reassigned benefits from 4 practitioners
Practice locations: Fullerton, CA; Placentia, CA

National Provider Directory

National Provider Directory

Locations

1370 Valley Vista Dr
Ste 104
Diamond Bar, CA 91765
Phone (909) 860-2166

1370 Brea Blvd
Ste 210
Fullerton, CA 92835
Phone (714) 732-1773

377 E Chapman Ave
Ste 230
Placentia, CA 92870
Phone (714) 732-1773

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1528246394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 BREA BLVD",
            "address_2": "SUITE 210",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354125",
            "telephone_number": "714-732-1773",
            "fax_number": "714-441-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 BREA BLVD",
            "address_2": "SUITE 210",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354125",
            "telephone_number": "714-732-1773",
            "fax_number": "714-441-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMMY A OUELLETTE PSY.D. APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "OUELLETTE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/CEO",
        "authorized_official_telephone_number": "714-732-1773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY20145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.