1. Home
  2. Directory
  3. Pennsylvania
  4. Whitehall
  5. Psychologist
  6. NPI Profile

DR. TANYA RENE WATERS PSY.D.
NPI 1275785453
Psychologist - Clinical in Whitehall, PA

Active since October 19, 2008Opted out of Medicare · through Nov 7, 2026
881 3RD ST, STE C3, WHITEHALL, PA 18052(484) 547-6645 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2025, Oct 21, 2020 (2 updates tracked since 2020).

About Dr. Tanya Rene Waters Psy.d. NPPES

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

DR. TANYA RENE WATERS PSY.D. (NPI 1275785453) is an individual clinical provider in Whitehall, Pennsylvania, licensed in Pennsylvania (PS016512) and active in the NPI registry since October 2008. She has opted out of Medicare through November 7, 2026.

NPPES Registry Identity

NPI1275785453
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TANYA RENE WATERSCredential: PSY.D.
Location Address881 3RD ST, STE C3Whitehall, PA 18052-5930
Mailing Address1151 Jordan BlvdWhitehall, PA 18052-5227 · (484) 547-6645
Phone(484) 547-6645
Sole ProprietorNo
Enumeration DateOctober 19, 2008
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1275785453 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 PA · PS016512
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.
881 3RD ST, Whitehall, PA 18052
Open in Google Maps ↗

Other Names 1

Former Name (1)Tanya Rene Shankweiler Psyd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Tanya Rene Waters Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 7, 2024 through November 7, 2026.

Opt-Out Effective DateNovember 7, 2024
Opt-Out In Effect ThroughNovember 7, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DR. THOMAS ALEXANDER GREENING D.C.
Chiropractor
881 3RD ST, SUITE C-1
WHITEHALL, PA 18052
Lehigh County (610) 266-5200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanya Waters's NPI number?

The NPI number for Tanya Waters is 1275785453. It was assigned to this individual provider in the NPPES registry on October 19, 2008. The provider is also known as Tanya Rene Shankweiler Psyd.

Where is Tanya Waters located?

Tanya Waters practices at 881 3rd St Ste C3, Whitehall, PA 18052. The listed phone number is (484) 547-6645.

What is Tanya Waters's specialty?

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

Is Tanya Waters enrolled in Medicare?

No. Tanya Waters has opted out of Medicare through November 7, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tanya Waters was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.