Rene William Tallichet, PSY.D.

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

PS005579L Issued in PA

Practice address

6115 Springford Dr Apt G10
Harrisburg, PA 17111-4847

Phone

(814) 883-6034

NPI assigned

Mar 25, 2019

Sex

Male

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

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1710447743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 SPRINGFORD DR APT G10",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171114847",
            "telephone_number": "814-883-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 SPRINGFORD DR APT G10",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171114847",
            "telephone_number": "814-883-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLICHET",
        "first_name": "RENE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Forensic",
            "state": "PA",
            "license": "PS005579L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silpa Nagini Tadavarthy, MD
• Richard E Taggart Jr., MD
• Mohamad H Taha, MD
• Sahar Tahir, MD
• Brian Takimoto, MD
• Navya Talluri, DO
• Monique Talton, M.S.
• Tamang Business LLC
• Tan & Garcia Pediatrics PC
• Yoke Y Tan, M.D.

• Forensic Psychologist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Forensic Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.