Tyler Jacob Wayne

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

665 Walnut Ave
Vallejo, CA 94592-1177

Phone

(707) 556-8921

NPI assigned

Aug 25, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Vallejo City Unified School District

  • Local Education Agency (LEA)
  • Vallejo, CA
  • NPI 1447386925
  NPD (past)

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1053299362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 WALNUT AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945921177",
            "telephone_number": "707-556-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 WALNUT AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945921177",
            "telephone_number": "707-556-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYNE",
        "first_name": "TYLER",
        "middle_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerald Deshawn Waters
• Susan Marie Watkins, PT
• Susan Ann Watson, L.M.F.T.
• Neil F. Watter, MD
• Katrina A Wauer
• Deborah Regina Weaver, BSW
• Kimberly J. Webb, P.T.
• Terry Lynn Webb, PROGRAM ADMIN.
• Christy F Webster, L.C.S.W.
• Willie G Weddington, ED. D. PSYCHOLOGY

• School Psychologist in Vallejo, CA
• Providers in Vallejo, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.