Individual provider Active NPI

Michael Tierney

  • Psychiatric/Mental Health Registered Nurse
  • Red Bank, NJ
National Provider Identifier
1477112431
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
26NR12573900 Issued in NJ
Practice address
270 Highway 35
Red Bank, NJ 07701-5920
Phone
(732) 842-2000
NPI assigned
Jun 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 26NR12573900 NJ Primary

Addresses

Primary practice location

270 Highway 35
Red Bank, NJ 07701-5920

Mailing address

270 Highway 35
Red Bank, NJ 07701-5920

Other names 1

  • Michael Tierney Professional name

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL rdsfarm.cpcbhc.org
CONNECT URL rdsfarm.cpcbhc.org
CONNECT URL rdsfarm.cpcbhc.org
CONNECT URL https://www.changehealthcare.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NR12573900NJMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1477112431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 HIGHWAY 35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 HIGHWAY 35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015920",
            "telephone_number": "732-842-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNEY",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NR12573900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rdsfarm.cpcbhc.org",
            "affiliation": "N",
            "address_1": "270 Highway 35",
            "city": "Red Bank",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077015920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rdsfarm.cpcbhc.org",
            "affiliation": "N",
            "address_1": "270 Highway 35",
            "city": "Red Bank",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077015920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rdsfarm.cpcbhc.org",
            "affiliation": "N",
            "address_1": "270 Highway 35",
            "city": "Red Bank",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077015920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.changehealthcare.com/",
            "affiliation": "N",
            "address_1": "270 Highway 35",
            "city": "Red Bank",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077015920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "TIERNEY",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.