Individual provider Active NPI

Tyler McQueen, PSY.D

  • Clinical Psychologist
  • Opelika, AL
National Provider Identifier
1194574525
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2390 Issued in AL
Practice address
2740 Village Professional Dr
Opelika, AL 36801-2379
Phone
(334) 821-0238
NPI assigned
May 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2390 AL Primary

Addresses

Primary practice location

2740 Village Professional Dr
Opelika, AL 36801-2379

Mailing address

2740 Village Professional Dr
Opelika, AL 36801-2379
Phone (334) 821-0238

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tyler.mcqueen@eastalabamahealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241030002984 AL Practitioner - Clinical Psychologist 4385177252 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2390ALMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Alabama Physicians, LLC CurrentSince Sep 13, 2024 Accepting new patients
East Alabama Physicians, LLC CurrentSince Sep 13, 2024 Accepting new patients

Locations

2740 Village Professional Dr
Opelika, AL 36801
Phone (334) 528-3871

Interoperability endpoints

  • Direct secure messaging: tyler.mcqueen@eastalabamahealth.cernerdirect.com
  • Direct secure messaging: tyler.mcqueen@eaps.gwaydirect.com

Organizations & group practices 2

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": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1194574525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 VILLAGE PROFESSIONAL DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368012379",
            "telephone_number": "334-821-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 VILLAGE PROFESSIONAL DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368012379",
            "telephone_number": "334-821-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "TYLER",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-17",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "2390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tyler.mcqueen@eastalabamahealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "2740 Village Professional Dr",
            "city": "Opelika",
            "state": "AL",
            "country_code": "US",
            "postal_code": "368012379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.