JACK TSAN PH.D.
NPI 1639441850
Psychologist in Austin, TX
About Jack Tsan Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK TSAN PH.D. (NPI 1639441850) is an individual psychologist in Austin, Texas, licensed in Texas (35206) and active in the NPI registry since February 2012. He has opted out of Medicare through October 1, 2026 and maintains a secondary practice location in Waco.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jack Tsan Ph.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 October 1, 2022 through October 1, 2026.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUSTIN, TX 78757
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 Jack Tsan's NPI number?
The NPI number for Jack Tsan is 1639441850. It was assigned to this individual provider in the NPPES registry on February 3, 2012.
Where is Jack Tsan located?
Jack Tsan practices at 8701 Shoal Creek Blvd Ste 404, Austin, TX 78757. The listed phone number is (512) 879-1836.
What is Jack Tsan's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Jack Tsan enrolled in Medicare?
No. Jack Tsan has opted out of Medicare through October 1, 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 Jack Tsan was last updated on September 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.