Active NPI
Tara Kai Winkler, ED.S
- School Psychologist
- Phoenix, AZ
National Provider Identifier
1790825644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3794942
- Practice address
- 2550 N 79TH Ave
Phoenix, AZ 85035-1225 - Phone
- (623) 691-3118
- Fax
- (623) 691-3120
- NPI assigned
- Feb 8, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3794942 | AZ | Primary |
Addresses
Primary practice location
2550 N 79TH Ave
Phoenix, AZ 85035-1225
Mailing address
12552 W Highland Ave
Litchfield Park, AZ 85340-5527
Phone (623) 691-3118
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 |
|---|---|---|---|
| 3794942 | AZ | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790825644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12552 W HIGHLAND AVE",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853405527",
"telephone_number": "623-691-3118",
"fax_number": "623-691-3120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 N 79TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850351225",
"telephone_number": "623-691-3118",
"fax_number": "623-691-3120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINKLER",
"first_name": "TARA",
"middle_name": "KAI",
"name_prefix": "Mrs.",
"credential": "ED.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "3794942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.