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TANYA MESIROW PH.D
NPI 1659336204
Psychologist - Clinical in Temecula, CA

Active since April 18, 2006Opted out of Medicare · through Jul 1, 2028
28999 OLD TOWN FRONT ST, SUITE 105, TEMECULA, CA 92590(951) 775-4057(951) 302-9235 Get Directions Write a Review

NPPES record last updated: September 1, 2011. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Tanya Mesirow Ph.d NPPES

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

TANYA MESIROW PH.D (NPI 1659336204) is an individual clinical provider in Temecula, California, licensed in California (PSY17044) and active in the NPI registry since April 2006. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1659336204
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameTANYA MESIROWCredential: PH.D
Location Address28999 OLD TOWN FRONT ST, SUITE 105Temecula, CA 92590-5805
Mailing Address28999 Old Town Front St, Suite 105Temecula, CA 92590-5805 · (951) 775-4057 · Fax (951) 302-9235
Phone(951) 775-4057
Fax(951) 302-9235
Sole ProprietorYes
Enumeration DateApril 18, 2006
Last NPPES UpdateSeptember 1, 2011
✔ NPI 1659336204 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 · PSY17044
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.
28999 OLD TOWN FRONT ST, Temecula, CA 92590
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedOPL170440CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tanya Mesirow 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 July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 15

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

DR. DANIEL KEMMER D.C.
Chiropractor
28999 OLD TOWN FRONT ST
TEMECULA, CA 92590
Riverside County (951) 694-8031
RICHARD BENNETT HAAS DPM
Podiatrist
28999 OLD TOWN FRONT ST, SUITE 205
TEMECULA, CA 92590
Riverside County (951) 694-5360
RANCHO FAMILY COUNSELING, INC.
Counselor (Mental Health)
28999 OLD TOWN FRONT ST, SUITE 202
TEMECULA, CA 92590
Riverside County (951) 764-0537
SONIA DING
Licensed Vocational Nurse
28999 OLD TOWN FRONT ST
TEMECULA, CA 92590
Riverside County (951) 261-8392
PETER BISHAY DDS INC
Clinic/Center (Dental)
28999 OLD TOWN FRONT ST, 208
TEMECULA, CA 92590
Riverside County (951) 695-0310
MELISSA A GAWAT
Registered Nurse
28999 OLD TOWN FRONT ST
TEMECULA, CA 92590
Riverside County (951) 261-8392
PROF. HYUNG SUB KIM L.AC
Acupuncturist
28999 OLD TOWN FRONT ST, SUITE 101
TEMECULA, CA 92590
Riverside County (951) 693-3345
JANET F BUTTERS AMFT
Marriage & Family Therapist
28999 OLD TOWN FRONT ST
TEMECULA, CA 92590
Riverside County (951) 261-8392

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 Mesirow's NPI number?

The NPI number for Tanya Mesirow is 1659336204. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Tanya Mesirow located?

Tanya Mesirow practices at 28999 Old Town Front St Suite 105, Temecula, CA 92590. The listed phone number is (951) 775-4057.

What is Tanya Mesirow's specialty?

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

Is Tanya Mesirow enrolled in Medicare?

No. Tanya Mesirow has opted out of Medicare through July 1, 2028. 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 Mesirow was last updated on September 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.