Individual provider Active NPI

Adeline Tryon, PH.D.

  • Psychologist
  • Easton, MD
National Provider Identifier
1568972289
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
02868 Issued in MD
Practice address
111 N West St Ste H
Easton, MD 21601-2760
Phone
(410) 820-5667
Fax
(443) 458-0107
NPI assigned
Oct 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 02868 MD Primary

Addresses

Primary practice location

111 N West St Ste H
Easton, MD 21601-2760

Mailing address

904 S Washington St
Easton, MD 21601-3329
Phone (443) 614-4310

Other practice location 1

213 W Main St Ste 205
Salisbury, MD 21801-5012
Phone (410) 860-8227

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
02868MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1507420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1568972289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 S WASHINGTON ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013329",
            "telephone_number": "443-614-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WEST ST STE H",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216012760",
            "telephone_number": "410-820-5667",
            "fax_number": "443-458-0107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 W Main St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218015012",
            "country_code": "US",
            "telephone_number": "410-860-8227",
            "fax_number": "443-458-0107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRYON",
        "first_name": "ADELINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "02868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.