MR. CHRISTOPHER COLGAN TYLER (NPI# 1497935324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497935324 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER COLGAN TYLER |
| Practice Address |
1190 E Broadway Louisville KY 40204-1712 |
| Practice Telephone | 5026270905 |
| Mailing Telephone | 5026270905 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2016-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3316 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | LICENSE | 3316 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023624715 | Christopher Keith Tyler | Massage Therapist | 41925 5th St Unit 406, Temecula, CA 92590-2739 | 2020-09-18 |
| 1831709310 | Christopher L Tyler | Social Worker | 139 E Mount Pleasant Ave, Philadelphia, PA 19119-1830 | 2020-08-09 |
| 1598046062 | Christopher Jason Tyler | Pharmacist | 209 S Main, Wetumka, OK 74883 | 2011-08-29 |
| 1295870442 | Christopher M Tyler | Dentist | 1601 Boyson Square Dr, Hiawatha, IA 52233-2311 | 2007-02-21 |
| 1528609914 | Christopher Jovan Tyler | Behavioral Analyst | 290 S Alma School Rd Ste 1, Chandler, AZ 85224-7633 | 2019-10-07 |
| 1356820534 | Christopher Tyler | Counselor | 720 Nw 6th St, Grants Pass, OR 97526-1524 | 2018-08-09 |
| 1962843458 | Christopher Tyler | Physician Assistant | 150 Chestnut St, Providence, RI 02903-4645 | 2013-07-11 |
| 1497091391 | Christopher D Tyler | Rehabilitation Practitioner | 7381 Prairie Falcon Rd, Suite 110, Las Vegas, NV 89128-0811 | 2012-12-20 |
| 1760675748 | Christopher Michael Tyler | Pharmacist | 2123 Civic Center Dr, North Las Vegas, NV 89030-6327 | 2007-08-22 |
| 1023196656 | Christopher L. Tyler | Internal Medicine | 2200 Ofarrell St, San Francisco, CA 94115-3357 | 2006-11-01 |
| Street Address |
1190 E BROADWAY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40204-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629298351 | Brenda Morris | Psychologist | 1190 E Broadway, Louisville, KY 40204-1712 | 2007-04-26 |
| 1720635493 | Camala Noel Walling | Psychologist | 1190 E Broadway, Louisville, KY 40204-1712 | 2019-08-19 |
| 1912474578 | John Edward Penezic | Psychologist | 1190 E Broadway, Louisville, KY 40204-1712 | 2018-10-31 |
| 1487192977 | Tina Furness Ullrich | Psychologist | 1190 E Broadway, Louisville, KY 40204-1712 | 2017-02-06 |
| 1659829760 | Mandala House, LLC | Social Worker | 1190 E Broadway, Louisville, KY 40204-1712 | 2016-09-18 |
| 1457671232 | Adrianne Elizabeth Lange | Psychologist | 1190 E Broadway, Louisville, KY 40204-1712 | 2010-06-03 |
| 1124212972 | Jacquelyn M Gilles | Psychologist | 1190 E Broadway, Louisville, KY 40204-1712 | 2007-09-04 |
| 1205034212 | Samuel Gordon Miller Jr. | Psychologist | 1190 E Broadway, Louisville, KY 40204 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619434974 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Centerstone Broadway, 914 East Broadway Suite 200, Louisville, KY 40204 | 2019-02-22 |
| 1821317975 | Abby Fowler | Social Worker | 1357 Bardstown Rd, Louisville, KY 40204 | 2010-05-27 |
| 1033317441 | Katrina Laflesh | Counselor | 914 East Broadway, 3rd Floor, Louisville, KY 40204 | 2007-07-06 |
| 1770790891 | Richard Brooks | Counselor | 914 East Broadway 1st, Louisville, KY 40204 | 2007-05-17 |
| 1447302922 | Walden Chiropractic Psc | Chiropractor | 1072 Bardstown Road, Louisville, KY 40204 | 2007-01-17 |
| 1053485938 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1023 E Broadway, Louisville, KY 40204 | 2006-11-20 |
| 1710072137 | Sandra L. Payne | Dentist | John P Rakutt Dmd Psc, 801 Barret Avenue #107, Louisville, KY 40204 | 2006-10-03 |
| 1013017482 | Bonnie L Varisco | Social Worker | 914 E. Broadway, 2nd, Louisville, KY 40204 | 2006-09-25 |
| 1902854334 | Kevin B Spicer | Pediatrics | 834 E Broadway, Louisville, KY 40204 | 2006-05-05 |
| 1992777213 | Donna Maclain Stewart | Pathology | Office of The Chief Medical Examiner;urban Government C, 810 Barret Ave, Louisville, KY 40204 | 2006-02-02 |
| Find all providers in zip 40204 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730797911 | Harvetta K Ray | Social Worker | 1426 S 28th St, Louisville, KY 40211-1729 | 2020-07-14 |
| 1083235360 | Julie Elfers | Social Worker | 700 Front St Ste 208, Louisville, CO 80027-1805 | 2020-04-28 |
| 1699301291 | James Casey Newman | Social Worker | 7121 Black Walnut Cir, Louisville, KY 40229-6402 | 2020-03-16 |
| 1467086744 | Kathryn Fischer | Social Worker | 1009 Rosemary Dr, Louisville, KY 40213-1119 | 2020-02-26 |
| 1497385496 | Katelyn Mensing | Social Worker | 531 W Whitney Ave Apt 1, Louisville, KY 40215-2835 | 2020-01-19 |
| 1386280683 | Jayan Thomas Lcsw LLC | Social Worker | 13113 Eastpoint Park Blvd Ste G, Louisville, KY 40223-4191 | 2019-11-21 |
| 1619511615 | Children's Safe Haven, LLC | Social Worker | 1939 Goldsmith Ln Ste 130, Louisville, KY 40218-3175 | 2019-11-01 |
| 1518500693 | Samantha Catherine Renschler | Social Worker | 4010 Dupont Cir Ste 300, Louisville, KY 40207-4881 | 2019-10-22 |
| 1124660287 | Andrea Bland | Social Worker | 4820 Greenvale Cir, Louisville, KY 40272-3181 | 2019-10-10 |
| 1164063665 | Lisa Spencer | Social Worker | 3906 Wewoka Ave, Louisville, KY 40212-2852 | 2019-10-05 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40204 |
Please comment or provide details below to improve the information on MR. CHRISTOPHER COLGAN TYLER.
| 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.