Active NPI
Tamara Lee Marks
- Psychologist
- La Mesa, CA
National Provider Identifier
1720823339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSB94027510
- Practice address
- 8058 La Mesa Blvd
La Mesa, CA 91942-0335 - Phone
- (904) 612-9112
- Fax
- (619) 782-0857
- NPI assigned
- Jun 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSB94027510 | CA | Primary |
Addresses
Primary practice location
8058 La Mesa Blvd
La Mesa, CA 91942-0335
Mailing address
3703 Nassau Dr
San Diego, CA 92115-7140
Phone (904) 612-9112
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB94027510 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1720823339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3703 NASSAU DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921157140",
"telephone_number": "904-612-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8058 LA MESA BLVD",
"city": "LA MESA",
"state": "CA",
"postal_code": "919420335",
"telephone_number": "904-612-9112",
"fax_number": "619-782-0857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "TAMARA",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-26",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSB94027510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
- Mario Ammirati M D Inc
- Kerry M Mariota, OTR, CHT
- Mark C Levine MD a Professional Corporation
- Mark Cincotta Chiropractic (San Diego Chiropractic Doctors)
- Robert L Marks, M.D.
- Michelle Elise Marosok, NP
- Marque Medical Clinic, Inc (Marque Urgent Care)
- Nataly Marquez-Chairez
- Jacqueline G Marquez
- Mareeh Claire Marquez, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.