Tyler Kimsey Aman, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Tempe, AZ
NPI 1225706286 · NPPES record last updated Mar 20, 2024
Key facts
- NPI
- 1225706286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 263468 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220421001396 | AZ | Practitioner - Nurse Practitioner | 4688066376 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263468 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity TMS Centers LLC | Single Specialty | Current |
Accepting new patients |
| Thriving Mind Solutions, PLLC | Single Specialty | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist |
364SP0813X | 263468 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 263468 | AZ | Yes |
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
Other providers in Tempe, AZ
- Jamil Alwazan
- Am-Bath, LLC
- Am-Bath, LLC
- Judith Ann Amadee
- Linda Jane Amado
- Amanda Misinco, PLLC
- Othnelia Amegashie
- Molly Ament
- American Current Care of Arizona PA
- American Current Care of Arizona, P.a.
All providers in Tempe, AZ · Psychiatric/Mental Health Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.