TANISHA N TATUM LEP
NPI 1619504925
Psychologist in Los Angeles, CA

Active since March 25, 2020
5777 W CENTURY BLVD # 11102035, LOS ANGELES, CA 90045(424) 248-7355 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2023, Sep 29, 2020, Mar 25, 2020 (3 updates tracked since 2020).

About Tanisha N Tatum Lep NPPES

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

TANISHA N TATUM LEP (NPI 1619504925) is an individual psychologist in Los Angeles, California, licensed in California (3897) and active in the NPI registry since March 2020. She maintains a secondary practice location in Gardena.

NPPES Registry Identity

NPI1619504925
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameTANISHA N TATUMCredential: LEP
Location Address5777 W CENTURY BLVD # 11102035Los Angeles, CA 90045-5600
Mailing Address360 N Pacific Coast Hwy Ste 2000El Segundo, CA 90245-4532 · (424) 248-7355
Sole ProprietorYes
Enumeration DateMarch 25, 2020
Last NPPES UpdateJune 13, 20233 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
NPI 1619504925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 3897
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.
Also ListedCounselorTaxonomy 101Y00000X · License 3897 (CA)
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License 3897 (CA)
Also ListedRehabilitation PractitionerTaxonomy 225400000X
5777 W CENTURY BLVD # 11102035, Los Angeles, CA 90045

Secondary Practice Location 1

Location 114903 S Normandie Ave Apt 117Gardena, CA 90247-2964 · Phone (424) 248-7355

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 Tanisha Tatum's NPI number?

The NPI number for Tanisha Tatum is 1619504925. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Tanisha Tatum located?

Tanisha Tatum practices at 5777 W Century Blvd # 11102035, Los Angeles, CA 90045. The listed phone number is (424) 248-7355.

What is Tanisha Tatum's specialty?

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

When was this NPI record last updated?

The NPPES record for Tanisha Tatum was last updated on June 13, 2023. 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.