Individual provider Active NPI

Tyler Kimsey Aman, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1225706286
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
263468 Issued in AZ
Practice address
401 W Baseline Rd Ste 105a
Tempe, AZ 85283-5349
Phone
(602) 738-0556
Fax
(602) 783-8804
NPI assigned
Sep 2, 2021
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geropsychiatric Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0813X 263468 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 263468 AZ Primary

Addresses

Primary practice location

401 W Baseline Rd Ste 105a
Tempe, AZ 85283-5349

Mailing address

401 W Baseline Rd Ste 105a
Tempe, AZ 85283-5349
Phone (602) 738-0556

Other practice location 1

1502 Meadow Peak Vw Apt 104
Colorado Springs, CO 80906-7774
Phone (602) 738-0556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220421001396 AZ Practitioner - Nurse Practitioner 4688066376 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thriving Mind Solutions, PLLC Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
Serenity TMS Centers LLC Single Specialty CurrentSince Jun 1, 2022 Accepting new patients

Locations

20950 N Tatum Blvd
Ste 380
Phoenix, AZ 85050
Phone (480) 389-1061

4545 E Chandler Blvd
Ste 308
Phoenix, AZ 85048
Phone (480) 626-2024

401 W Baseline Rd
Ste 105A
Tempe, AZ 85283
Phone (602) 738-0556

3300 N Triumph Blvd
Ste 500
Lehi, UT 84043
Phone (801) 821-2333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1225706286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W BASELINE RD STE 105A",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835349",
            "telephone_number": "602-738-0556",
            "fax_number": "602-783-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W BASELINE RD STE 105A",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835349",
            "telephone_number": "602-738-0556",
            "fax_number": "602-783-8804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1502 Meadow Peak Vw Apt 104",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809067774",
            "country_code": "US",
            "telephone_number": "602-738-0556",
            "fax_number": "602-783-8804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMAN",
        "first_name": "TYLER",
        "middle_name": "KIMSEY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0813X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": "AZ",
            "license": "263468",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "263468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.