Carla Valerie Hart-Tyner, NP-C, PMHNP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.13636 Issued in OH

Practice address

3801 Whipple Ave NW Ste 1
Canton, OH 44718-4802

Phone

(216) 413-0413

NPI assigned

Aug 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Stark Recovery Associates, LLC

  • Community/Behavioral Health Agency
  • Canton, OH
  • NPI 1912641481
  Medicare reassignment NPD Authorized official
• New Pathways Clinic LLC

  • Psychiatry Physician
  • Middleburg Heights, OH
  • NPI 1619640414
  Medicare reassignment NPD
• Stark Recovery Associates

  • Clinic/Center
  • Canton, OH
  • NPI 1194396689
  NPD Authorized official

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1134476088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 WHIPPLE AVE NW STE 1",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447184802",
            "telephone_number": "216-413-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 WHIPPLE AVE NW STE 1",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447184802",
            "telephone_number": "216-413-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART-TYNER",
        "first_name": "CARLA",
        "middle_name": "VALERIE",
        "credential": "NP-C, PMHNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024172219",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.13636",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.13636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073278",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "charttyner@starkrecoveryassociates.com",
            "affiliation": "N",
            "address_1": "3801 Whipple Ave NW Ste 1",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447184802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cassandra Harrison, LPC
• Maria E Harrison, LPCC
• Hannah Harsh, CNP
• Patricia Belle Harsh, PTA
• Chase M Harshbarger, PC
• Andrew Hart, M.D.
• Christopher Scott Hartenstein
• Bobbie Jo Hartman, CDCA
• Denise Rae Hartman, LPN
• Tanya Hartman

• Psychiatric/Mental Health Nurse Practitioner in Canton, OH
• Providers in Canton, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.