Individual provider Active NPI

Tammy Kushner, PSY.D.

  • Clinical Psychologist
  • Davie, FL
National Provider Identifier
1598794307
Registry record updated Nov 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6373 Issued in FL
Practice address
1500 SW 145TH Ave
Davie, FL 33325-5931
Phone
(954) 464-9431
Fax
(954) 464-9431
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY6373 FL Primary

Addresses

Primary practice location

1500 SW 145TH Ave
Davie, FL 33325-5931

Mailing address

1500 SW 145TH Ave
Davie, FL 33325-5931
Phone (954) 464-9431

Other practice location 1

20325 N 51st Ave Ste 168
Glendale, AZ 85308-4624
Phone (954) 464-9431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250318003127 AZ Practitioner - Clinical Psychologist 2668994765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Raymond W Lemberg PHD PCGroup PAC ID 3375578917, 26 clinicians

Practice addresses (Care Compare)

20325 N 51St Ave
Suite 168
Glendale, AZ 85308-4624
Phone (844) 385-3747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY6373FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond W Lemberg PHD PC Psychologist CurrentSince Mar 7, 2025 Accepting new patients

Locations

20325 N 51st Ave
Ste 168
Glendale, AZ 85308
Phone (480) 801-2985

1000 Ainsworth Dr
Prescott, AZ 86305
Phone (928) 776-7885

1000 Ainsworth Dr
Ste C320
Prescott, AZ 86305
Phone (844) 385-3747

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764201600000",
    "number": "1598794307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SW 145TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333255931",
            "telephone_number": "954-464-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW 145TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333255931",
            "telephone_number": "954-464-9431",
            "fax_number": "954-464-9431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20325 N 51st Ave Ste 168",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853084624",
            "country_code": "US",
            "telephone_number": "954-464-9431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUSHNER",
        "first_name": "TAMMY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2025-11-27",
        "certification_date": "2025-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.