Organization Active NPI

Tac Telepsychiatry

  • Psychiatry Physician
  • Anaheim, CA
National Provider Identifier
1639959885
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TAC TELEPSYCHIATRY
Practice address
718 S Lemon St
Anaheim, CA 92805-4626
Phone
(720) 256-5384
NPI assigned
Oct 4, 2023
Last updated
Oct 4, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
TAC TELEPSYCHIATRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Dr. Tamara A Chambless, MDNPI 1952346785
Title
Owner
Phone
(720) 256-5384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

718 S Lemon St
Anaheim, CA 92805-4626

Mailing address

718 S Lemon St
Anaheim, CA 92805-4626
Phone (720) 256-5384

National Provider Directory

National Provider Directory
Part of
Tac Telepsychiatry

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1639959885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 S LEMON ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054626",
            "telephone_number": "720-256-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 S LEMON ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054626",
            "telephone_number": "720-256-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAC TELEPSYCHIATRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAC TELEPSYCHIATRY",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "CHAMBLESS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-256-5384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.