Individual provider

Tara O'donnell, PSYD

Clinical Psychologist Medicare enrolled

Tara O'donnell, PSYD is a Clinical Psychologist in Wilkes Barre, PA, registered under NPI 1124288410.

Getting there

The practice address on file is 1111 E END BLVD, Wilkes Barre, PA 18711. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1111 E END BLVD, Wilkes Barre, PA 18711 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PS016422 PA Clinical Psychologist primary

This provider holds licence PS016422 issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Clinical Psychologist
PAC ID
6103096771

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Clinical Psychologist. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical covers

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. NUCC Health Care Provider Taxonomy, code 103TC0700X
Behavioral Health & Social Service Providers Psychologist Clinical

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124288410 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 11, 2008
Last updatedMar 7, 2025
StatusActive
Sole proprietorNo
CredentialPSYD
Practice address 1111 E END BLVD
Wilkes Barre, PA 18711
(570) 824-3521
Mailing address 1111 EAST END BOULEVARD WILKES-BARRE VA MEDICAL CENTER
Wilkes-barre, PA 18711
This record was updated on Mar 7, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1124288410 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 2 8 8 4 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 4 8 7 4 2

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124288410?
NPI 1124288410 is the National Provider Identifier assigned to Tara O'donnell, PSYD in Wilkes Barre, PA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
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 --…
How do I contact Tara O'donnell, PSYD?
The phone number on file with NPPES is (570) 824-3521, last updated Mar 7, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Tara O'donnell, PSYD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1124288410 a valid number?
Yes. 1124288410 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.