Meredith Jan Tackett, PHD

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

License

PY00002403 Issued in WA

Practice address

1660 S Columbian Way # 128
Vapshcs Spinal Cord Injury Service
Seattle, WA 98108-1532

Phone

(206) 764-2823

Fax

(206) 764-2799

NPI assigned

Aug 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rowan Center for Behavioral Medicine, a Psychological CorporationGroup PAC ID 7911227509, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Rowan Center for Behavioral Medicine, a Psychological Corporation

  dba Rowan Center for Behavioral Medicine, A Psychological Corporation, P.C

  • Psychologist
  • Seattle, WA
  • NPI 1285411884
  Medicare reassignment Care Compare group NPD
• Rowan Center for Behavioral Medicine, a Psychological Corporation

  • Psychologist
  • Aurora, CO
  • NPI 1154200962
  NPD

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831207943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 S COLUMBIAN WAY # 128",
            "address_2": "VAPSHCS SPINAL CORD INJURY SERVICE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081532",
            "telephone_number": "206-764-2823",
            "fax_number": "206-764-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S COLUMBIAN WAY # 128",
            "address_2": "VAPSHCS SPINAL CORD INJURY SERVICE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081532",
            "telephone_number": "206-764-2823",
            "fax_number": "206-764-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "MEREDITH",
        "middle_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "WA",
            "license": "PY00002403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Tabor
• Rick Tabor, MS, LMHC
• Ayumi Tachida, MD
• Lisa May Ling Tachiki, M.D.
• Nicholas Frank Tacke, MD
• Ryan Tackett
• Tacoma Chiropractic Center LLC (Excel Chiropractic and Massage Therapy Center)
• Fedi Tadele
• Salina Tadesse
• Sara Tadmori

• Rehabilitation Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Rehabilitation Psychologist in Washington

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.