Individual provider Active NPI

Tyler Dartt, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1134813710
Registry record updated Jun 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0033976 Issued in OH
Practice address
900 E. Dublin Granville Rd
Columbus, OH 43229-2518
Phone
(614) 953-5219
NPI assigned
Jun 6, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0033976 OH Primary

Addresses

Primary practice location

900 E. Dublin Granville Rd
Columbus, OH 43229-2518

Mailing address

568 Princeton St
Ashville, OH 43103-2518
Phone (614) 400-0340

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240223003015 OH Practitioner - Nurse Practitioner 1850736372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

110 Highland Ave
Circleville, OH 43113-1208

2044 Lockbourne Rd
Columbus, OH 43207-1462

3460 S Dixie Dr
Dayton, OH 45439-2304

PO Box
Suite 1608
Grand Rapids, MI 49501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Behavioral Columbus, LLC CurrentSince Jan 10, 2024 Accepting new patients
Alpha Medical Services, LLC CurrentSince Jul 14, 2024 Accepting new patients
Noble Mental Health LLC Psychiatric/Mental Health CurrentSince Dec 10, 2025 Accepting new patients

Locations

110 Highland Ave
Circleville, OH 43113
Phone (740) 477-1745

2044 Lockbourne Rd
Columbus, OH 43207
Phone (614) 604-8573

900 E Dublin Granville Rd
Columbus, OH 43229
Phone (614) 706-2786

594 Newark Granville Rd
Granville, OH 43023
Phone (740) 587-1361

Organizations & group practices 3

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687651200000",
    "number": "1134813710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 PRINCETON ST",
            "city": "ASHVILLE",
            "state": "OH",
            "postal_code": "431032518",
            "telephone_number": "614-400-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E. DUBLIN GRANVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292518",
            "telephone_number": "614-953-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARTT",
        "first_name": "TYLER",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-25",
        "certification_date": "2023-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0033976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.