Tyra Vickers LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

TYRA VICKERS LLC

Practice address

8340 Sangre de Cristo Rd Ste 214
Littleton, CO 80127-4352

Phone

(720) 316-3909

NPI assigned

Aug 16, 2024

Last updated

Jan 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tyra Vickers, PHDNPI 1902385388

Title

Licensed Psychologist

Phone

(720) 316-3909

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tyra B Vickers, PHD

  • School Psychologist
  • Littleton, CO
  • NPI 1902385388
  NPD Authorized official

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1184456212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 SANGRE DE CRISTO RD STE 214",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801274352",
            "telephone_number": "720-316-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 SANGRE DE CRISTO RD STE 214",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801274352",
            "telephone_number": "720-316-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRA VICKERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "TYRA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "720-316-3909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Littleton, CO
• Providers in Littleton, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.