Active NPI
Tara Anne Murphy, PSY.D.
- Psychologist
- Centralia, WA
National Provider Identifier
1871677138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY60484916
- Practice address
- 1911 Cooks Hill Rd
Centralia, WA 98531 - Phone
- (360) 736-6778
- Fax
- (360) 736-6552
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | PSY20027 | CA | |
| Adult Development & Aging Psychologist | 103TA0700X | PSY20027 | CA | |
| Clinical Psychologist | 103TC0700X | PSY20027 | CA | |
| Counseling Psychologist | 103TC1900X | PSY20027 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY20027 | CA | |
| Family Psychologist | 103TF0000X | PSY20027 | CA | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | PSY20027 | CA | |
| Group Psychotherapy Psychologist | 103TP2701X | PSY20027 | CA | |
| Psychologist | 103T00000X | PY60484916 | WA | Primary |
Addresses
Primary practice location
1911 Cooks Hill Rd
Centralia, WA 98531
Mailing address
1911 Cooks Hill Rd
Centralia, WA 98531-9073
Phone (360) 736-6778
Other practice location 1
1907 Cooks Hill Rd
Centralia, WA 98531-9073
Phone (360) 736-6778
Other practice location 2
193 S Market Blvd
Chehalis, WA 98532-3037
Phone (360) 736-6778
Other practice location 3
18313 Paulson St SW
Rochester, WA 98579-9262
Phone (360) 736-6778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2088607 | Medicaid | WA |
Other names 1
- Tara Anne Sopwith Iglesias
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 |
|---|---|---|---|
| PY60484916 | WA | MD | Psychologist |
| PSY20027 | CA | MD | Intellectual & Developmental Disabilities Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1871677138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 COOKS HILL RD",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985319073",
"telephone_number": "360-736-6778",
"fax_number": "360-736-6552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 COOKS HILL RD",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "98531",
"telephone_number": "360-736-6778",
"fax_number": "360-736-6552"
}
],
"practiceLocations": [
{
"address_1": "1907 Cooks Hill Rd",
"address_purpose": "LOCATION",
"city": "Centralia",
"state": "WA",
"postal_code": "985319073",
"country_code": "US",
"telephone_number": "360-736-6778",
"fax_number": "360-736-6552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "193 S Market Blvd",
"address_purpose": "LOCATION",
"city": "Chehalis",
"state": "WA",
"postal_code": "985323037",
"country_code": "US",
"telephone_number": "360-736-6778",
"fax_number": "360-736-6552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18313 Paulson St SW",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "WA",
"postal_code": "985799262",
"country_code": "US",
"telephone_number": "360-736-6778",
"fax_number": "360-736-6552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MURPHY",
"first_name": "TARA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "PSY20027",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "CA",
"license": "PSY20027",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY20027",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY20027",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY20027",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "CA",
"license": "PSY20027",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "CA",
"license": "PSY20027",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "PSY20027",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "WA",
"license": "PY60484916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2088607",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "SOPWITH IGLESIAS",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.