DR. TAMARA MCGILLICUDDY PSYD
NPI 1396513271
Psychologist - Clinical in Elk Grove, CA

Q: What is Tamara Mcgillicuddy's NPI number?

The NPI number for Tamara Mcgillicuddy is 1396513271. It was assigned to this individual provider in the NPPES registry on December 19, 2023.

Q: What is Tamara Mcgillicuddy's specialty?

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

Active since December 19, 2023PECOS Enrolled

9324 W STOCKTON BLVD, ELK GROVE, CA 95758(916) 525-6100 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Tamara Mcgillicuddy Psyd NPPES

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

DR. TAMARA MCGILLICUDDY PSYD (NPI 1396513271) is an individual clinical provider in Elk Grove, California, licensed in California (34740) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396513271

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. TAMARA MCGILLICUDDYCredential: PSYD

Location Address9324 W STOCKTON BLVDElk Grove, CA 95758-8012

Mailing Address9324 W Stockton BlvdElk Grove, CA 95758-8012 · (916) 525-6100

Phone(916) 525-6100

Sole ProprietorNo

Enumeration DateDecember 19, 2023

NPPES CertifiedDecember 19, 2023

✔ NPI 1396513271 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 CA · 34740

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.

9324 W STOCKTON BLVD, Elk Grove, CA 95758

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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 (PECOS)

Dr. Tamara Mcgillicuddy Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95758 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

$180.85 typical visit price

range $60.44 – $180.85

Typical copayment $45.21 (range $15.11 – $45.21)

Most-billed visit code 99205

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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 12

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

STEPHANIE KAWAS BARRY

Counselor