TARA RIDDLE PH.D.
NPI 1164866687
Psychologist - Clinical in Urbana, IL

Q: What is Tara Riddle's NPI number?

The NPI number for Tara Riddle is 1164866687. It was assigned to this individual provider in the NPPES registry on April 26, 2013.

Q: What is Tara Riddle's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Tara Riddle was last updated on December 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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 April 26, 2013PECOS EnrolledAccepts Medicare Assignment

611 W PARK ST, URBANA, IL 61801(217) 383-6792(217) 383-6792 Get Directions Write a Review

NPPES record last updated: December 10, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Tara Riddle Ph.d. NPPES

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

TARA RIDDLE PH.D. (NPI 1164866687) is an individual clinical provider in Urbana, Illinois, licensed in Michigan (6301014898) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1164866687

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameTARA RIDDLECredential: PH.D.

Location Address611 W PARK STUrbana, IL 61801-2500

Mailing Address611 W Park StUrbana, IL 61801-2500 · (217) 383-6792 · Fax (217) 383-6792

Phone(217) 383-6792

Fax(217) 383-6792

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateApril 26, 2013

Last NPPES UpdateDecember 10, 2013

✔ NPI 1164866687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301014898

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

611 W PARK ST, Urbana, IL 61801

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Other Identifiers 1

Medicare UPINF400102711IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tara Riddle Ph.d. 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 ID5395971584

PECOS Enrollment IDI20131118000903

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.

Medicare Billing Reassignment

Medicare enrollment records show Tara Riddle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carle Health Medical Group

Same address

Internal Medicine

611 W PARK ST
Urbana, IL 61801

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Carle Health Care Incorporated
2,516 clinicians in this Medicare group

NPI 1154653947 (217) 383-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

276 services99 patients

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139

This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.

267 services90 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

102 services102 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes 96138

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

85 services85 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

77 services77 patients

Exam of neurobehavioral status, first hour 96116

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140091

Location611 West Park StreetUrbana, IL 61801 · Champaign County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.44 typical visit price

range $54.80 – $168.44

Typical copayment $42.11 (range $13.70 – $42.11)

Most-billed visit code 99205

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. UDAY BHASKAR KANAKADANDI MD

Internal Medicine (Interventional Cardiology)

611 W PARK ST, HVI
URBANA, IL 61801

Champaign County (217) 383-3110

DR. VIKAS DESAI MD

Urology