Active NPI
Tyler Fishbein
- Clinical Social Worker
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 105140
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24636 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyde Psychological Services LLC | Current | Accepting new patients | |
| Rhapsody Counseling and Wellness Center PC | Clinical | Current | 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.
-
- Clinical Psychologist
- Palm Harbor, FL
- NPI 1679080790
-
- Clinical Social Worker
- Live Oak, TX
- NPI 1447733647
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.