Individual provider Active NPI

Tyler Hoyt

  • Clinical Psychologist
  • Minneapolis, MN
National Provider Identifier
1558955690
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP6659 Issued in MN
Practice address
2101 Minnehaha Ave
Minneapolis, MN 55404-3107
Phone
(612) 721-9845
NPI assigned
Mar 1, 2021
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP6659 MN Primary

Addresses

Primary practice location

2101 Minnehaha Ave
Minneapolis, MN 55404-3107

Mailing address

2101 Minnehaha Ave
Minneapolis, MN 55404-3107
Phone (612) 721-9845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20210420001526 MN Practitioner - Clinical Psychologist 3870901440 Reassigns benefits to 1 organization
I20240717004221 TX Practitioner - Clinical Psychologist 3870901440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

760 Hospital Circle
Browning, MT 59417-0000
Phone (406) 338-6154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indian Health Board of Minneapolis CurrentSince Feb 25, 2021 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Jun 20, 2024 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Jun 20, 2024 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients

Locations

1315 E 24th St
Minneapolis, MN 55404
Phone (612) 721-9800

2020 Minnehaha Ave
Minneapolis, MN 55404
Phone (612) 721-9800

2101 Minnehaha Ave
Minneapolis, MN 55404
Phone (612) 721-9800

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1558955690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 MINNEHAHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043107",
            "telephone_number": "612-721-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MINNEHAHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043107",
            "telephone_number": "612-721-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOYT",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP6659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.