TYLER T WHITNEY PSYD PC (NPI# 1659599850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659599850 |
| Entity Type | Organization |
| Organization Name | TYLER T WHITNEY PSYD PC |
| Other Organization Name | INTERMOUNTAIN CENTER FOR AUTISM & CHILD DEVELOPMENT |
| Practice Address |
2273 E Gala St Suite 120 Meridian ID 83642-7289 |
| Practice Telephone | 2088887104 |
| Practice Fax Number | 2083214789 |
| Mailing Telephone | 2088887104 |
| Mailing Fax Number | 2083214789 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TYLER T WHITNEY (PRESIDENT) |
| Authorized Official Telephone | 2088887104 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
SE-202327 | ID | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
SE202-374 | ID | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | PSY202-131 | ID | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Intermountain Center for Autism & Child Development | Doing Business As Name - Organization |
| Street Address |
2273 E GALA ST SUITE 120 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-7289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336127190 | Stephanie Terrell | Nurse Practitioner | 2273 E Gala St, Ste. 110, Meridian, ID 83642-7289 | 2006-01-03 |
| 1508417387 | Shelby Duarte | Social Worker | 2273 E Gala St, Meridian, ID 83642-7289 | 2019-09-24 |
| 1013256379 | Simply Womens Health LLC | Obstetrics & Gynecology | 2273 E Gala St, Suite 110, Meridian, ID 83642-7289 | 2013-02-06 |
| 1861759854 | Epic Psychological Services, Pllc | Psychologist | 2273 E Gala St, Suite 100, Meridian, ID 83642-7289 | 2012-04-16 |
| 1053689356 | Ryan J Hulbert | Psychologist | 2273 E Gala St, Suite 100, Meridian, ID 83642-7289 | 2011-12-01 |
| 1588850812 | Gladys Joana Gonzales | Physician Assistant | 2273 E Gala St, Suite 100, Meridian, ID 83642-7289 | 2007-09-20 |
| 1467670653 | Tyler T Whitney | Clinical Neuropsychologist | 2273 E Gala St, Suite 120, Meridian, ID 83642-7289 | 2007-04-23 |
| 1891816823 | Scott P. Hoopes, M.d., P.a. | Psychiatry & Neurology | 2273 E Gala St, Suite 100, Meridian, ID 83642-7289 | 2007-04-03 |
| 1255368635 | Scott Partridge Hoopes | Psychiatry & Neurology | 2273 E Gala St, Suite 100, Meridian, ID 83642-2798 | 2006-06-28 |
| 1417906405 | Kelly Siudzinski | Obstetrics & Gynecology | 2273 E Gala St, Suite 110, Meridian, ID 83642-7289 | 2006-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271843 | Krystle May Sears | Counselor | 1550 N Crestmont Dr Ste A, Meridian, ID 83642-2177 | 2020-10-01 |
| 1750927372 | Restoring Hope Healing From Trauma and Addiction LLC | Counselor | 850 E Franklin Rd Ste 405, Meridian, ID 83642-8917 | 2019-11-19 |
| 1942864434 | Carissa Ann Barnes | Counselor | 827 W Ashby Dr, Meridian, ID 83646-5695 | 2019-04-30 |
| 1134687809 | Lauren Yoder | Counselor | 3023 E Copper Point Dr Ste 108, Meridian, ID 83642-9290 | 2019-03-12 |
| 1376000943 | Amanda Marie Breneman | Counselor | 235 E Pine Ave, Meridian, ID 83642-2332 | 2019-03-01 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1740767623 | Serena Poland | Counselor | 3019 S Hudspeth Ave, Meridian, ID 83642-4815 | 2018-07-24 |
| 1821574294 | Anna Krzemieniecki | Counselor | 1406 N Main St Ste 203, Meridian, ID 83642-1746 | 2018-07-18 |
| 1972011062 | Ebone Shania Newton | Counselor | 2803 North Hills Street, Meridian, MS 35459 | 2018-01-11 |
| 1285143941 | Nicholas E O'brien | Counselor | 2463 E Gala St, Meridian, ID 83642 | 2017-09-26 |
| Find all providers in MERIDIAN | ||||
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| 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.