Active NPI
Tara Marie Neavins, PHD
- Clinical Psychologist
- Mather, CA
National Provider Identifier
1629138243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 30571
- Practice address
- 10535 Hospital Way BLDG 649
Mather, CA 95655-4200 - Phone
- (916) 366-5449
- Fax
- (916) 366-5441
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 30571 | CA | Primary |
Addresses
Primary practice location
10535 Hospital Way BLDG 649
Mather, CA 95655-4200
Mailing address
10535 Hospital Way BLDG 649
Mather, CA 95655-4200
Phone (916) 366-5449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002633 | CT | MD | Dentist |
| 30571 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788566400000",
"number": "1629138243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10535 HOSPITAL WAY BLDG 649",
"city": "MATHER",
"state": "CA",
"postal_code": "956554200",
"telephone_number": "916-366-5449",
"fax_number": "916-366-5441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10535 HOSPITAL WAY BLDG 649",
"city": "MATHER",
"state": "CA",
"postal_code": "956554200",
"telephone_number": "916-366-5449",
"fax_number": "916-366-5441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAVINS",
"first_name": "TARA",
"middle_name": "MARIE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2026-09-05",
"certification_date": "2026-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "30571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mather, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.