Individual provider Active NPI

Tyler Reese Turner Harvey

  • Case Manager/Care Coordinator
  • Redwood City, CA
National Provider Identifier
1043860760
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
248 Redwood Ave
Redwood City, CA 94061
Phone
(650) 839-1076
NPI assigned
Sep 14, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

248 Redwood Ave
Redwood City, CA 94061

Mailing address

2600 S El Camino Real Ste 200
San Mateo, CA 94403-2382
Phone (650) 372-4080

Other practice location 1

248 Redwood Ave
Redwood City, CA 94061-3074
Phone (650) 839-1076

Other practice location 2

248 Redwood Ave
Redwood City, CA 94061-3074
Phone (650) 839-1076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caminar Community Based Residential Treatment Facility, Mental Illness PastSince Sep 25, 2019 Accepting new patients

Organizations & group practices 1

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": "1568419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1043860760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S EL CAMINO REAL STE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032382",
            "telephone_number": "650-372-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 REDWOOD AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94061",
            "telephone_number": "650-839-1076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "248 Redwood Ave",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "940613074",
            "country_code": "US",
            "telephone_number": "650-839-1076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "248 Redwood Ave",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "940613074",
            "country_code": "US",
            "telephone_number": "650-839-1076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "TYLER",
        "middle_name": "REESE TURNER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-14",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.