DR. ANNETTE MARIE TARDIF PHD, MA
NPI 1508334137
Psychologist in Tacoma, WA

Active since November 13, 2018Opted out of Medicare · through Apr 1, 2028
401 BROADWAY STE 100, TACOMA, WA 98402(253) 392-6748 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2022, Nov 13, 2018 (2 updates tracked since 2018).

About Dr. Annette Marie Tardif Phd, Ma NPPES

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

DR. ANNETTE MARIE TARDIF PHD, MA (NPI 1508334137) is an individual psychologist in Tacoma, Washington, licensed in Washington (PY60843912) and active in the NPI registry since November 2018. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508334137
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ANNETTE MARIE TARDIFCredential: PHD, MA
Location Address401 BROADWAY STE 100Tacoma, WA 98402-3900
Mailing Address401 Broadway Ste 100Tacoma, WA 98402-3900 · (253) 392-6748
Sole ProprietorYes
Enumeration DateNovember 13, 2018
Last NPPES UpdateOctober 26, 20222 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
NPI 1508334137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · PY60843912
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
401 BROADWAY STE 100, Tacoma, WA 98402

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. Annette Marie Tardif Phd, Ma 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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 13

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

Voluntary or Charitable
401 BROADWAY STE 100
TACOMA, WA 98402
Marriage & Family Therapist
401 BROADWAY STE 100
TACOMA, WA 98402
Counselor (Mental Health)
401 BROADWAY STE 100
TACOMA, WA 98402
Nurse Practitioner (Family)
401 BROADWAY STE 100, PMB 100080
TACOMA, WA 98402
Nurse Practitioner (Psychiatric/Mental Health)
401 BROADWAY STE 100
TACOMA, WA 98402
Counselor (Mental Health)
401 BROADWAY STE 100
TACOMA, WA 98402
Social Worker (Clinical)
401 BROADWAY STE 100
TACOMA, WA 98402
Nurse Practitioner (Psychiatric/Mental Health)
401 BROADWAY STE 100
TACOMA, WA 98402

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 Annette Tardif's NPI number?

The NPI number for Annette Tardif is 1508334137. It was assigned to this individual provider in the NPPES registry on November 13, 2018.

Where is Annette Tardif located?

Annette Tardif practices at 401 Broadway Ste 100, Tacoma, WA 98402. The listed phone number is (253) 392-6748.

What is Annette Tardif's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Annette Tardif enrolled in Medicare?

No. Annette Tardif has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Annette Tardif was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.