TYLER PSYCHOLOGY GROUP LLP (NPI# 1285769216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285769216 |
| Entity Type | Organization |
| Organization Name | TYLER PSYCHOLOGY GROUP LLP |
| Other Organization Name | CLINICAL ASSOCIATES OF EAST TEXAS |
| Practice Address |
2010 Sybil Ln Tyler TX 75703-1818 |
| Practice Telephone | 9035968118 |
| Practice Fax Number | 9035968125 |
| Mailing Telephone | 9035968118 |
| Mailing Fax Number | 9035968125 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-09-28 |
| Authorized Official Name | SUE PARKER (OFFICE MANAGER) |
| Authorized Official Telephone | 9035968118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | GROUP NUMBER | 0080DM | 01 |
| Other Name | Type Code |
|---|---|
| Clinical Associates of East Texas | Doing Business As Name - Organization |
| Street Address |
2010 SYBIL LN |
| City | TYLER |
| State | TX |
| Zip Code | 75703-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659389617 | Thomas Wilson Renfroe Jr. | Psychologist | 2010 Sybil Ln, Tyler, TX 75703-1818 | 2006-08-04 |
| 1396252136 | Joy Leandra Neal | Social Worker | 2010 Sybil Ln, Tyler, TX 75703-1823 | 2018-01-02 |
| 1619480209 | Tamra R. Howell | Counselor | 2010 Sybil Ln, Tyler, TX 75703-1823 | 2017-11-06 |
| 1174998488 | Melinda Gay | Counselor | 2010 Sybil Ln, Suite 130, Tyler, TX 75703-1823 | 2015-12-11 |
| 1588061923 | Psychology Associates of East Texas, LLC. | Counselor | 2010 Sybil Ln, Tyler, TX 75703-1823 | 2014-12-01 |
| 1760703003 | Jonathan Michael Ridenour | Psychologist | 2010 Sybil Ln, Tyler, TX 75703-1823 | 2010-06-22 |
| 1225202773 | Susan S Oravetz | Counselor | 2010 Sybil Ln, Tyler, TX 75703-1823 | 2008-04-16 |
| 1700929163 | Rhonda Mckinzie | Counselor | 2010 Sybil Ln, Tyler, TX 75703-1818 | 2007-02-15 |
| 1497803076 | Ann O Jarrel | Social Worker | 2010 Sybil Ln, Tyler, TX 75703-1818 | 2007-01-08 |
| 1487662664 | Jan Maedgen Walker | Counselor | 2010 Sybil Ln, Tyler, TX 75703-1818 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469075 | Jonathan Richard | Counselor | 1015 Trinity Dr, Tyler, TX 75702-8757 | 2020-08-24 |
| 1043829757 | Lenore Strickland | Counselor | 5207 Hollytree Dr Apt 905, Tyler, TX 75703-3446 | 2020-07-28 |
| 1952933749 | Smith County Champions for Children | Counselor | 4883 Hightech Dr, Tyler, TX 75703-2617 | 2020-02-10 |
| 1568934339 | Art of Healing Counseling Center Pllc | Counselor | 1810 Shiloh Rd Ste 601, Tyler, TX 75703-2457 | 2018-12-18 |
| 1992286041 | Christina Michelle Lawrence | Counselor | 2003 Rickety Ln, Tyler, TX 75703-1706 | 2018-08-27 |
| 1174011779 | David Keith Duffey | Counselor | 657 Prestonwood Cir, Tyler, TX 75703-5045 | 2018-04-29 |
| 1962842237 | Jaclyn Nicole Abell | Counselor | 1121 E Southeast Loop 323 Ste 204, Tyler, TX 75701 | 2013-07-01 |
| 1710251012 | St Joseph Counseling & Rehabilitation Services, Inc | Counselor | 3334 S Sw Loop 323, Suite 108, Tyler, TX 75701-9237 | 2012-03-05 |
| 1750602488 | Valerie Kay Holcomb | Counselor | 2624 Kensington Dr, Suite 108, Tyler, TX 75703-2728 | 2010-06-16 |
| 1861665689 | Robin Bivings Fincher | Counselor | 108 E 3rd St, Tyler, TX 75701-3107 | 2008-04-13 |
| Find all providers in TYLER | ||||
Please comment or provide details below to improve the information on TYLER PSYCHOLOGY GROUP LLP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.