Sara Beth Tafeen, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

31485 Issued in CA

Practice address

9888 Carroll Centre Rd Ste 216
San Diego, CA 92126-4515

Phone

(858) 413-7557

NPI assigned

Dec 11, 2017

Last updated

Jan 17, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tracy Wutzke, Psy.D

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1750827499
  NPD (past)

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1619482775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 VILLA TER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043424",
            "telephone_number": "336-327-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 CARROLL CENTRE RD STE 216",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264515",
            "telephone_number": "858-413-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFEEN",
        "first_name": "SARA",
        "middle_name": "BETH",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "31485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tadpoles Therapy Services to You Inc
• Anthony Samir Tadros, M.D.
• Emad Guirgus Tadros, MD
• Megan Taele, PA-C
• Jenessa Taengkaew
• Carlos Eric Tafoya, IDC
• Claudia Tafoya, B.A
• Sydney Tafuri, LPCC
• Rox Ann Tagg, MFT
• Scott K Taggart, LMFT

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.