Melinda Mary Tyler, MA, MFT
Individual provider Active NPI Marriage & Family Therapist · Preston, CT
NPI 1235429754 · NPPES record last updated Mar 7, 2015
Key facts
- NPI
- 1235429754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 84 River Rd
Preston, CT 06365-8023 - Phone
- (860) 639-4953
- Fax
- (888) 509-7271
- NPI assigned
- Apr 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Preston, CT 06365
Phone (860) 326-4148
84 River Rd
Preston, CT 06365-8023
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250211001847 | CT | Practitioner - Marriage and Family Therapist | 1850821562 | Practice locations: Preston, CT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001621 | CT | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
84 River Rd
Preston, CT 06365-8023
Mailing address
84 River Rd
Preston, CT 06365-8023
Phone (860) 639-4953
Other providers in Preston, CT
All providers in Preston, CT · Marriage & Family Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2015. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.