Individual provider Active NPI

Tanika Gayle, PSY. D., MSW

  • Clinical Psychologist
  • Riverside, CA
National Provider Identifier
1780871574
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY23903 Issued in CA
Practice address
3880 Lemon St Ste 500
Riverside, CA 92501-3374
Phone
(951) 682-1488
NPI assigned
Sep 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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 PSY23903 CA Primary

Addresses

Primary practice location

3880 Lemon St Ste 500
Riverside, CA 92501-3374

Mailing address

5051 Canyon Crest Dr
Suite 204
Riverside, CA 92507-6099
Phone (951) 682-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130807000080 CA Practitioner - Clinical Psychologist 3274775044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5051 Canyon Crest Dr
Suite 204
Riverside, CA 92507-6035
Phone (951) 682-1488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY23903CAMDClinical Psychologist
23903CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Psychology Group, a Professional Corporation Clinical CurrentSince Feb 13, 2019 Accepting new patients
Myles & Harrison Wellness Center Clinical Current Accepting new patients

Locations

41760 Ivy St
Ste 204
Murrieta, CA 92562
Phone (951) 682-1488

3880 Lemon St
Ste 500
Riverside, CA 92501
Phone (951) 530-1299

5051 Canyon Crest Dr
Ste 204
Riverside, CA 92507
Phone (951) 682-1488

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1780871574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 CANYON CREST DR",
            "address_2": "SUITE 204",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925076099",
            "telephone_number": "951-682-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 LEMON ST STE 500",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013374",
            "telephone_number": "951-682-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYLE",
        "first_name": "TANIKA",
        "credential": "PSY. D., MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.