Richard Tyler Jr.
Psychologist, Clinical in Cleveland Heights, OH. Individual provider (NPI-1).
NPI number1679954036
StatusActive
Last updated in NPPESJun 11, 2015
Details
- NPI
- 1679954036
- Entity type
- Individual (NPI-1)
- Name
- Richard Tyler Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 11, 2015
- Last updated
- Jun 11, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6555 | OH | Yes |
Practice location
12970 Cedar RdCleveland Heights, OH 44118-2739
Phone 216-371-1563
Mailing address
12970 Cedar RdCleveland Heights, OH 44118-2739
Phone 216-371-1563
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Clinical Psychologist providers in Cleveland Heights · All 1,028 providers in Cleveland Heights
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