Individual provider Active NPI

Tammy Kealey, PSYD

  • Clinical Neuropsychologist
  • Arcadia, CA
National Provider Identifier
1548917800
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Practice address
440 E Huntington Dr Ste 300
Arcadia, CA 91006-3775
Phone
(626) 823-2799
NPI assigned
Mar 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

440 E Huntington Dr Ste 300
Arcadia, CA 91006-3775

Mailing address

440 E Huntington Dr Ste 300
Arcadia, CA 91006-3775
Phone (626) 823-2799

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20230413001101 CA Practitioner - Clinical Psychologist 0244605855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seda Terzyan, a Psychological CorporationGroup PAC ID 7315293925, 4 clinicians

Practice addresses (Care Compare)

250 Newport Ctr Dr
Suite M106
Newport Beach, CA 92660-7516
Phone (949) 783-9590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seda Terzyan, a Psychological Corporation Single Specialty CurrentSince Apr 1, 2023 Accepting new patients
Magnolia Neuropsychology Corporation Clinical Neuropsychologist CurrentSince Jul 30, 2024 Accepting new patients

Locations

440 E Huntington Dr
Ste 300
Arcadia, CA 91006
Phone (626) 230-4094

1550 Bayside Dr
Corona del Mar, CA 92625
Phone (949) 280-7729

1440 N Harbor Blvd
Ste 255
Fullerton, CA 92835
Phone (909) 239-9738

250 Newport Center Dr
Ste M106
Newport Beach, CA 92660
Phone (949) 783-9590

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tammy.kealey.1@17999.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1548917800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E HUNTINGTON DR STE 300",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063775",
            "telephone_number": "626-823-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E HUNTINGTON DR STE 300",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063775",
            "telephone_number": "626-823-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEALEY",
        "first_name": "TAMMY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.