Tad Skinner, PH.D. LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

TAD SKINNER, PH.D. LLC

Practice address

1300 S Mill Ave
Tempe, AZ 85281-5650

Phone

(480) 363-8858

NPI assigned

May 17, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tad Skinner, PH.D.NPI 1699897140

Title

Licensed Psychologist

Phone

(480) 363-8858

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tad Skinner, PH.D.

  • Psychologist
  • Tempe, AZ
  • NPI 1699897140
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1952092322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S MILL AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815650",
            "telephone_number": "480-363-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S MILL AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815650",
            "telephone_number": "480-363-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAD SKINNER, PH.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "TAD",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "480-363-8858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergio Szpaizman, MD
• T L Young, DO, PC
• Amber Tabares, NMD
• Tabb Medical LLC
• Tackle Health LLC
• Caroline Tade, NMD
• Sabrina Taft
• Nora B Tahmassian, PHARMD
• Daniela Crispo Talarico, MSW, LCSW
• Ladan Talebi, PHARMD, RPH

• Psychologist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.