Christopher Colgan Tyler

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3316 Issued in KY

Practice address

1190 E Broadway
Louisville, KY 40204-1712

Phone

(502) 627-0905

NPI assigned

Nov 8, 2007

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 KY

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 1

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mandala House, LLCGroup PAC ID 4789957135, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mandala House, LLC

  • Clinical Psychologist
  • Louisville, KY
  • NPI 1659829760
  Medicare reassignment Care Compare group NPD
• University Psychiatric Foundation, Inc.

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1457539140

  Clinical

  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1497935324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041712",
            "telephone_number": "502-627-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041712",
            "telephone_number": "502-627-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "CHRISTOPHER",
        "middle_name": "COLGAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3316",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ty & Eli Homecare LLC
• Alka A Tyagi, D.O.
• Rohan Tyagi
• Arnesha Tyler
• Ashton Parrish Tyler, PT, DPT
• Clinton Clay Tyler
• Miranda Tyler
• Chelsea Deshannon Tyree, PHARM D
• Kelsey Tysick, COTA/L
• Karen Crofts Tyson, LMT

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.