DR. TAMARA DUCKWORTH WARNER (PH.D.) – Psychologist, NPI 1245401504

DR. TAMARA DUCKWORTH WARNER (PH.D.) is a healthcare provider. based in Gainesville, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PY 7353 (FL). The NPI Number for DR. TAMARA DUCKWORTH WARNER (PH.D.) is 1245401504

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. TAMARA DUCKWORTH WARNER (PH.D.)
NPI
1245401504
Phone
(352) 627-0456
Address
4101 NW 89TH BLVD
Enumeration Date
14 March 2008
Last Update Date
27 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3523921161
Graduation Year
2003 (23 years ago)
PAC ID
9830248525
Group Practice PAC ID
0345146254
Professional Enrollment ID
I20150313000451
Address ID
FL326103003GAUFXXXARXX900
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:18State licenses:2Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for DR. TAMARA DUCKWORTH WARNER (PH.D.)

  • 4101 NW 89TH BLVD

    GAINESVILLE, FL 32606

    Phone: (352) 627-0456

    Type: Location

  • 1600 SW ARCHER RD

    GAINESVILLE, FL 326103003

    Phone: (351) 273-9123

    Fax: (352) 294-8091

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150313000451IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32606)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345146254View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. TAMARA DUCKWORTH WARNER (PH.D.)?
Save NPI 1245401504 if you need a stable reference for DR. TAMARA DUCKWORTH WARNER (PH.D.).
Is DR. TAMARA DUCKWORTH WARNER (PH.D.)'s NPI currently valid?
The extract we use shows DR. TAMARA DUCKWORTH WARNER (PH.D.) as active.
What does DR. TAMARA DUCKWORTH WARNER (PH.D.) treat or focus on?
Patients typically see DR. TAMARA DUCKWORTH WARNER (PH.D.) under the specialty Psychologist. Clinical services aligned with this taxonomy classification.
What location shows for DR. TAMARA DUCKWORTH WARNER (PH.D.)?
We surface Gainesville, Florida for DR. TAMARA DUCKWORTH WARNER (PH.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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