DR. NICHOLAS ANDREW TANNER PH.D.
NPI 1942794920
Psychologist - Clinical in Phoenix, AZ

Q: What is Nicholas Tanner's NPI number?

The NPI number for Nicholas Tanner is 1942794920. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Q: What is Nicholas Tanner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicholas Tanner was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since June 21, 2018PECOS Enrolled

3141 N 3RD AVE, PHOENIX, AZ 85013(602) 914-1520(602) 470-5064 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2025, Feb 8, 2023, Jul 10, 2018 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Nicholas Andrew Tanner Ph.d. NPPES

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

DR. NICHOLAS ANDREW TANNER PH.D. (NPI 1942794920) is an individual clinical provider in Phoenix, Arizona, licensed in Arizona (PSY-004974) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942794920

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. NICHOLAS ANDREW TANNERCredential: PH.D.

Location Address3141 N 3RD AVEPhoenix, AZ 85013

Mailing Address3141 N 3rd AvePhoenix, AZ 85013-4360 · (928) 607-4846

Phone(602) 914-1520

Fax(602) 470-5064

Sole ProprietorYes

Enumeration DateJune 21, 2018

Last NPPES UpdateAugust 6, 20254 updates tracked since enumeration

NPPES CertifiedAugust 6, 2025

✔ NPI 1942794920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in AZ · PSY-004974

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.

Also ListedPsychologistTaxonomy 103T00000X · License PSY-004974 (AZ)

3141 N 3RD AVE, Phoenix, AZ 85013

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Secondary Practice Locations 2

Location 17600 N 16th St Ste 110Phoenix, AZ 85020-4446 · Phone (928) 607-4846

Location 21919 E Thomas RdPhoenix, AZ 85016-7710 · Phone (602) 933-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas Andrew Tanner Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Nicholas Tanner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Phoenix Children's Hospital

2.1 mi

Pediatrics

1919 E THOMAS RD
Phoenix, AZ 85016

Reassigned Medicare billing, Arizona enrollment
1,416 clinicians in this Medicare group

NPI 1922112044 (602) 933-1000

District Medical Group, Inc

3.4 mi

Pulmonary Disease

2525 E ROOSEVELT ST, MED CLINIC - PULMONARY
Phoenix, AZ 85008

Reassigned Medicare billing, Arizona enrollment
1,490 clinicians in this Medicare group

NPI 1700119815 (602) 344-1095

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.60 typical visit price

range $55.44 – $168.60

Typical copayment $42.15 (range $13.86 – $42.15)

Most-billed visit code 99205

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. PATRICIA RANJINEE HALPE MD

Pediatrics