Tyd Provider Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TYD PROVIDER SERVICES

Practice address

355 S Grand
Ste 2450
Los Angeles, CA 90071-1560

Phone

(657) 200-9124

NPI assigned

May 20, 2025

Last updated

May 20, 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

Dominique DunnNPI 1124589163

Title

Owner

Phone

(614) 648-4680

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Dominique Dunn

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
  • NPI 1124589163
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1215729868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 S GRAND AVE STE 2450",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900719500",
            "telephone_number": "657-200-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S GRAND",
            "address_2": "STE 2450",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900711560",
            "telephone_number": "657-200-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYD PROVIDER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-648-4680"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Lise Twomey, FNP-BC
• Jackson Scott Twyman
• Bernard Ty, FNP
• Rakshit Tyagi, MD
• Serena Karr Tycko, DMD
• Nicole Marie Tyer, MD
• Tyler J Phillips MD a Medical Corporation
• Tyler J Roubidoux MD PC
• Darlene Fay Tyler, RN, FNP
• Jay Tyler

• Psychiatric/Mental Health Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.