Anne R Tavel, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1083 Issued in MA

Practice address

148 Linden Street, Suite 108
Wellesley, MA 02482-7920

Phone

(781) 235-7420

Fax

(781) 235-7420

NPI assigned

Sep 12, 2006

Last updated

May 8, 2015By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1538263116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 LINDEN STREET, SUITE 108",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827920",
            "telephone_number": "781-235-7420",
            "fax_number": "781-235-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 LINDEN STREET, SUITE 108",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827920",
            "telephone_number": "781-235-7420",
            "fax_number": "781-235-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVEL",
        "first_name": "ANNE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "1083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "717705",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W01732",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kumiko E Tanaka, MD
• Ekta Taneja, M.D.
• Naila Tariq, NP
• Lloyd D Tarlin, M.D.
• Debra Richards Tatnall, C.S.
• Roberta K Taylor, RNCS
• Daria Tcherniakovskaia, LMHC
• Ruth Tedaldi, MD
• Katherine Strand Teixeira-Dasilva, N.P.
• Kendal Temple, BSN, RN

• Clinical Psychologist in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.