Individual provider Active NPI

Tyler Fishbein

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1003489196
Registry record updated Jun 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105140 Issued in TX
Practice address
6391 De Zavala Rd Ste 100
San Antonio, TX 78249-2144
Phone
(210) 286-9339
NPI assigned
Jul 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 24636 FL
Clinical Social Worker 1041C0700X 105140 TX Primary
Social Worker 104100000X 105140 TX

Addresses

Primary practice location

6391 De Zavala Rd Ste 100
San Antonio, TX 78249-2144

Mailing address

6391 De Zavala Rd Ste 100
San Antonio, TX 78249-2144
Phone (210) 286-9339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240502000163 TX Practitioner - Clinical Social Worker 7517307978 Reassigns benefits to 1 organization
I20250709001937 FL Practitioner - Clinical Social Worker 7517307978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Southern California Keck School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hyde Psychological Services, LLCGroup PAC ID 1153666185, 6 clinicians

Practice addresses (Care Compare)

1150 Tampa Rd
Palm Harbor, FL 34683-5553
Phone (727) 469-3008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24636FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hyde Psychological Services LLC CurrentSince Aug 18, 2025 Accepting new patients
Rhapsody Counseling and Wellness Center PC Clinical CurrentSince Apr 23, 2024 Accepting new patients

Locations

1150 Tampa Rd
Palm Harbor, FL 34683
Phone (727) 469-3008

11901 Toepperwein Rd
Ste 1106
Live Oak, TX 78233
Phone (210) 286-9339

6391 De Zavala Rd
Ste 100
San Antonio, TX 78249
Phone (210) 286-9339

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750550400000",
    "number": "1003489196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6391 DE ZAVALA RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492144",
            "telephone_number": "210-286-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6391 DE ZAVALA RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492144",
            "telephone_number": "210-286-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHBEIN",
        "first_name": "TYLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2025-06-22",
        "certification_date": "2025-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "24636",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105140",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "105140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.