Thachell Tanis, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

024229 Issued in NY

Practice address

37 Friar Tuck Way
Saratoga Springs, NY 12866-6165

Phone

(518) 238-6028

Fax

(518) 348-1279

NPI assigned

Jan 20, 2022

Last updated

Jan 20, 2022By 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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1710639828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 FRIAR TUCK WAY",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666165",
            "telephone_number": "518-238-6028",
            "fax_number": "518-348-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 FRIAR TUCK WAY",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666165",
            "telephone_number": "518-238-6028",
            "fax_number": "518-348-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIS",
        "first_name": "THACHELL",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Jude Szurek, DC
• Amanda Nicole Taft, RRA
• Deborah M Tallman
• Karen Tallon, PMHNP
• Sanjay Taneja, M.D.
• Haiyang Tao, M.D.
• Kim M Taormina, MSED, LMHC
• Michelle Tarte
• Rick David Teetz, MD
• Cynthia L Teplitzky, LCSW

• Psychologist in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.