Tamara Avery, PSYD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

34617 Issued in TX

Practice address

208 S Dixon St
Gainesville, TX 76240-4719

Phone

(817) 908-3979

NPI assigned

Sep 28, 2010

Last updated

Mar 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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.

• Avery Behavioral Health, PLLC

  • Clinical Psychologist
  • Gainesville, TX
  • NPI 1285910539
  Authorized official Same address or phone

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1629387329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 S DIXON ST",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404719",
            "telephone_number": "940-612-2445",
            "fax_number": "940-503-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S DIXON ST",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404719",
            "telephone_number": "817-908-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "TAMARA",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura L Anderson, WHNP
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• Avery Behavioral Health, PLLC
• Axxess Medical LLC
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• Bastion Emergency Physicians, PLLC
• Tina Bauwin, COTA
• Bayer Therapy, P.C. (Physical Therapy Center)

• Clinical Psychologist in Gainesville, TX
• Providers in Gainesville, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.