Organization Active NPI

Tayler Rydalch Pmhnp-BC, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Butte, MT
National Provider Identifier
1114649639
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TAYLER RYDALCH PMHNP-BC, LLC
Practice address
84 Ohio St Ste 6
Butte, MT 59701-1806
Phone
(406) 646-2470
Fax
(406) 299-3911
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Loretta Bolyard, PHD
Title
Clinical Director
Phone
(406) 646-2470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

84 Ohio St Ste 6
Butte, MT 59701-1806

Mailing address

84 Ohio St Ste 6
Butte, MT 59701-1806
Phone (406) 646-2470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221027003043 MT Part B Supplier - Clinic/Group Practice 8921475377 Receives reassigned benefits from 1 practitioner
Practice locations: Butte, MT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1114649639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 OHIO ST STE 6",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011806",
            "telephone_number": "406-646-2470",
            "fax_number": "406-299-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 OHIO ST STE 6",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011806",
            "telephone_number": "406-646-2470",
            "fax_number": "406-299-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLER RYDALCH PMHNP-BC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "BOLYARD",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "406-646-2470",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.