Individual provider Active NPI

Erin C Tansill, PH.D.

  • Clinical Psychologist
  • Tacoma, WA
National Provider Identifier
1750968848
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60513667 Issued in WA
Practice address
1102 A St Ste 302
Tacoma, WA 98402-5001
Phone
(253) 843-7791
Fax
(253) 201-4818
NPI assigned
Mar 25, 2021
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY60513667 WA Primary

Addresses

Primary practice location

1102 A St Ste 302
Tacoma, WA 98402-5001

Mailing address

1102 A St Ste 302
Tacoma, WA 98402-5001
Phone (253) 843-7791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220421000699 WA Practitioner - Clinical Psychologist 0749677730 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1102 A St
Suite 302
Tacoma, WA 98402-5001
Phone (253) 843-7791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY60513667WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
In the Heart of the Woods Psychology PLLC CurrentSince Jan 14, 2024 Accepting new patients
Select Services by Ops, PLLC Clinical CurrentSince Jun 21, 2022 Accepting new patients
Olympic Psychology Services, PLLC CurrentSince Jan 13, 2022 Accepting new patients

Locations

1102 A St
Ste 302
Tacoma, WA 98402
Phone (253) 843-7791

711 Court a
Ste 114
Tacoma, WA 98402
Phone (253) 269-6063

4007 Bridgeport Way W
Ste C
University Place, WA 98466
Phone (253) 242-3661

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1750968848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 A ST STE 302",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025001",
            "telephone_number": "253-843-7791",
            "fax_number": "253-201-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 A ST STE 302",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025001",
            "telephone_number": "253-843-7791",
            "fax_number": "253-201-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANSILL",
        "first_name": "ERIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60513667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.