Tyrone Powell, PHD, HSPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20041029 Issued in IN

Practice address

620 8TH Ave
Terre Haute, IN 47804-2744

Phone

(812) 231-8407

Fax

(812) 231-8178

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, NC2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychological Services of CharlotteGroup PAC ID 8921014499, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Psychological Services of Charlotte

  • Psychologist
  • Charlotte, NC
  • NPI 1295768943
  Medicare reassignment Care Compare group NPD
• Hamilton Center, Inc.

  • Community/Behavioral Health Agency
  • Terre Haute, IN
  • NPI 1205980901
  Medicare reassignment NPD
• Hamilton Center Inc.

  • Methadone Clinic
  • Vincennes, IN
  • NPI 1265053854
  NPD

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275563777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4323",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478040323",
            "telephone_number": "812-231-8323",
            "fax_number": "812-231-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 8TH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042744",
            "telephone_number": "812-231-8407",
            "fax_number": "812-231-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TYRONE",
        "credential": "PHD, HSPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200119420",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Dewile Poor, M.D.
• Janell Porter-Brock
• Molly Porter
• Victoria L Potoczak, M.D.
• Caroline Potter, AUD
• Prabhu Dental LLC
• Sawan Prabhu, D.D.S.
• Prairie Creek Radiology,Inc
• Premier Diagnostic Imaging LLC
• Premier Diagnostic Imaging, LLC

• Clinical Psychologist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.