Tyler C McDaniel

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

7300 N Perimeter Rd
Great Falls, MT 59402

Phone

(406) 731-4451

NPI assigned

Mar 11, 2019

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

Medicare fee-for-service enrollment

Enrolled in UT, VA2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Dynamic Psychiatry PLLC

  • Psychiatry Physician
  • South Jordan, UT
  • NPI 1679225536
  Medicare reassignment NPD
• Psychological Health Roanoke PC

  • Clinical Psychologist
  • Roanoke, VA
  • NPI 1417975806
  Medicare reassignment NPD
• Advanced Radiology and Interventional Associates Inc

  • Diagnostic Radiology Physician
  • Stockton, CA
  • NPI 1669123626
  NPD (past)
• Port City Operating Company, LLC

  • Home Health Agency
  • Stockton, CA
  • NPI 1306978945
  NPD (past)

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1558829408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 N PERIMETER RD",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594026701",
            "telephone_number": "406-731-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 N PERIMETER RD",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "59402",
            "telephone_number": "406-731-4451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 N Perimeter Rd",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "59402",
            "country_code": "US",
            "telephone_number": "406-731-4451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "TYLER",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten J McCrumb, DPT
• Deanna Marie McCulloch, LCPC
• Kelly Jo McCulloch, LMT
• Kylie McCullough, PHARMD
• Raelynne A McCurdy, LCPC, LAC
• Matthew McDonald
• Michelle A McDonald, LMP
• Kiarra McGee, PHARMD
• Meghan Marie McGrath, DNP, FNP, OCN, VA-BC
• William Robert McGregor, M.D.

• Psychologist in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.