Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy L Tackett, PHD, LP

Individual provider Forensic Psychologist · NPI 1144642042

Amy L Tackett, PHD, LP is a Clinical Psychologist in Salida, California. Qualified in 2007, 19 years ago. Practices with Pacific Coast Psychiatric Associates Inc, a 632-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

5222 Pirrone Ct Ste 101A
Salida, CA 95368-9072
Phone: (925) 282-1778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Forensic Psychologist (primary) Taxonomy 103TF0200X · Licence 26063 (CA)
Psychologist Taxonomy 103T00000X · Licence 26063 (CA)

Record details

NPI number1144642042
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LP
Sole proprietorNo
NPI enumeratedJanuary 11, 2014
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Pacific Coast Psychiatric Associates Inc — 632 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services