Healthcare Provider Details

I. General information

NPI: 1295126308
Provider Name (Legal Business Name): TANISHA JOSHI PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2015
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8604 MAIN ST STE 3
WILLIAMSVILLE NY
14221-7463
US

IV. Provider business mailing address

8604 MAIN ST STE 3
WILLIAMSVILLE NY
14221-7463
US

V. Phone/Fax

Practice location:
  • Phone: 716-248-8533
  • Fax:
Mailing address:
  • Phone: 716-248-8533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number022154
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPSY.0004179
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: