NPIMap

Organization Active NPI

TNR LLC

  • Clinical Psychologist
  • Provo, UT
National Provider Identifier
1659095602
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
TNR LLC
Practice address
2520 N University Ave Ste 100
Provo, UT 84604-3819
Phone
(385) 567-4063
NPI assigned
Oct 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Teg McBrideNPI 1689658940
Title
PSYD, Owner
Phone
(385) 567-4063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2520 N University Ave Ste 100
Provo, UT 84604-3819

Mailing address

2520 N University Ave Ste 100
Provo, UT 84604-3819
Phone (385) 567-4063

National Provider Directory

National Provider Directory

Locations

2520 N University Ave
Ste 100
Provo, UT 84604
Phone (385) 567-4063

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1659095602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 N UNIVERSITY AVE STE 100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043819",
            "telephone_number": "385-567-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 N UNIVERSITY AVE STE 100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043819",
            "telephone_number": "385-567-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TNR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "TEG",
        "authorized_official_title_or_position": "PSYD, OWNER",
        "authorized_official_telephone_number": "385-567-4063"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.