Individual provider Active NPI

Tyler Bruhn Kane, MS

  • Psychologist
  • Chesapeake, VA
National Provider Identifier
1639743289
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810008936 Issued in VA
Practice address
860 Greenbrier Cir Ste 208
Chesapeake, VA 23320-2640
Phone
(757) 410-0700
NPI assigned
May 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0810008936 VA Primary

Addresses

Primary practice location

860 Greenbrier Cir Ste 208
Chesapeake, VA 23320-2640

Mailing address

860 Greenbrier Cir Ste 208
Chesapeake, VA 23320-2640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20250825000630 VA Practitioner - Clinical Psychologist 6305346388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Oklahoma State University College of Osteopathic Medicine, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4 Bellacasa Way Apt
Suite 201
Hampton, VA 23666-3190

860 Greenbrier Cir
Suite 208
Chesapeake, VA 23320-2640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Cognitive Behavior Therapy Center Psychologist CurrentSince Sep 2, 2025 Accepting new patients

Locations

860 Greenbrier Cir
Ste 208
Chesapeake, VA 23320
Phone (757) 410-0700

Interoperability endpoints

  • Direct secure messaging: tkane246730@direct.metrohealth.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1639743289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 GREENBRIER CIR STE 208",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 GREENBRIER CIR STE 208",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202640",
            "telephone_number": "757-410-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "TYLER",
        "middle_name": "BRUHN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810008936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.