Judah Michael Tanner, SCHOOL PSYCHOLOGIST

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

6832 Avenue 280
Visalia, CA 93277-9429

Phone

(559) 622-3236

NPI assigned

May 24, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Sycamore Valley Academy

  • Local Education Agency (LEA)
  • Visalia, CA
  • NPI 1124992243
  NPD
• Blue Oak Academy

  • Local Education Agency (LEA)
  • Visalia, CA
  • NPI 1114891215
  NPD (past)

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1871332155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 AVENUE 280",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779429",
            "telephone_number": "559-622-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6832 AVENUE 280",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779429",
            "telephone_number": "559-622-3236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28050 Road 148",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932929297",
            "country_code": "US",
            "telephone_number": "559-730-7422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANNER",
        "first_name": "JUDAH",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "SCHOOL PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rae Angela Tan, R.N.
• Timothy Lang Tan, M.D.
• Seng Leang Tang-Hignojoz, LMFT
• Michael Tang, MD
• Yvette M Tanguma
• Tariq Javed, MD Inc.
• Asma Tariq, M.D.
• Lynn Tarr, LMFT
• Jennifer Tasarz
• Connie Tavarez, RN, BSN, PHN

• School Psychologist in Visalia, CA
• Providers in Visalia, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.