Active NPI
Tyler W. Laney, PHD, LCP
- Clinical Psychologist
- Richmond, VA
National Provider Identifier
1154831071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810005830
- Practice address
- 515 N 10TH St
Richmond, VA 23298-5040 - Phone
- (804) 828-3129
- Fax
- (804) 828-9493
- NPI assigned
- Oct 5, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810005830 | VA | Primary |
Addresses
Primary practice location
515 N 10TH St
Richmond, VA 23298-5040
Mailing address
PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100
Other practice location 1
1250 E Marshall St
Richmond, VA 23291-5040
Phone (804) 828-3129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1154831071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91734",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232911734",
"telephone_number": "804-358-6100",
"fax_number": "804-342-7619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 N 10TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985040",
"telephone_number": "804-828-3129",
"fax_number": "804-828-9493"
}
],
"practiceLocations": [
{
"address_1": "1250 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232915040",
"country_code": "US",
"telephone_number": "804-828-3129",
"fax_number": "804-828-9493",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANEY",
"first_name": "TYLER",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "PHD, LCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810005830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.