AMY L TACKETT PHD, LP
NPI 1144642042
Psychologist - Forensic in Salida, CA

Q: What is Amy Tackett's NPI number?

The NPI number for Amy Tackett is 1144642042. It was assigned to this individual provider in the NPPES registry on January 11, 2014.

Q: What is Amy Tackett's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

Q: When was this NPI record last updated?

The NPPES record for Amy Tackett was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 11, 2014PECOS EnrolledAccepts Medicare Assignment

5222 PIRRONE CT STE 101A, SALIDA, CA 95368(925) 282-1778 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2026, May 13, 2024, May 20, 2023 (3 updates tracked since 2023).

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About Amy L Tackett Phd, Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY L TACKETT PHD, LP (NPI 1144642042) is an individual forensic provider in Salida, California, licensed in California (26063) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1144642042

Entity TypeIndividualFemale

Primary Taxonomy103TF0200X

Provider Legal NameAMY L TACKETTCredential: PHD, LP

Location Address5222 PIRRONE CT STE 101ASalida, CA 95368-9072

Mailing Address5222 Pirrone Ct Ste 101aSalida, CA 95368-9072

Phone(925) 282-1778

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJanuary 11, 2014

Last NPPES UpdateMay 19, 20263 updates tracked since enumeration

NPPES CertifiedMay 19, 2026

✔ NPI 1144642042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers

Taxonomy Code103TF0200X

License✔ Licensed in CA · 26063

Definition

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Also ListedPsychologistTaxonomy 103T00000X · License 26063 (CA)

5222 PIRRONE CT STE 101A, Salida, CA 95368

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy L Tackett Phd, Lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769702745

PECOS Enrollment IDI20150514002863

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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