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JOHN TANNER PHD
NPI 1871283564
Psychologist - Clinical in Austin, TX

Active since May 08, 2023Opted out of Medicare · through Sep 4, 2027
4515 MENCHACA RD STE 204, AUSTIN, TX 78745(203) 570-3081 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Tanner Phd NPPES

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

JOHN TANNER PHD (NPI 1871283564) is an individual clinical provider in Austin, Texas, licensed in Texas (18014) and active in the NPI registry since May 2023. He has opted out of Medicare through September 4, 2027.

NPPES Registry Identity

NPI1871283564
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJOHN TANNERCredential: PHD
Location Address4515 MENCHACA RD STE 204Austin, TX 78745-1645
Mailing Address4515 Menchaca Rd Ste 204Austin, TX 78745-1645 · (203) 570-3081
Phone(203) 570-3081
Sole ProprietorYes
Enumeration DateMay 8, 2023
NPPES CertifiedMay 8, 2023
✔ NPI 1871283564 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 TX · 18014
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.
4515 MENCHACA RD STE 204, Austin, TX 78745
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

John Tanner Phd 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 September 4, 2025 through September 4, 2027.

Opt-Out Effective DateSeptember 4, 2025
Opt-Out In Effect ThroughSeptember 4, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 John Tanner's NPI number?

The NPI number for John Tanner is 1871283564. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is John Tanner located?

John Tanner practices at 4515 Menchaca Rd Ste 204, Austin, TX 78745. The listed phone number is (203) 570-3081.

What is John Tanner's specialty?

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

Is John Tanner enrolled in Medicare?

No. John Tanner has opted out of Medicare through September 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does John Tanner accept?

Health plans from UnitedHealthcare list John Tanner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Tanner was last updated on May 8, 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.