Larry William Tyndall, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP 0773 Issued in KS

Practice address

12701 Metcalf Ave Ste 204
Overland Park, KS 66213-2854

Phone

(913) 499-4300

NPI assigned

Aug 31, 2005

Last updated

Mar 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling Associates of Overland Park, LLC

  • Psychologist
  • Overland Park, KS
  • NPI 1043378847
  Medicare reassignment NPD Authorized official
• Boulevard Psychology, LLC

  • Counseling Psychologist
  • Overland Park, KS
  • NPI 1508085291
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1710971114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15450 IRON HORSE CIR",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662243852",
            "telephone_number": "913-499-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 METCALF AVE STE 204",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132854",
            "telephone_number": "913-499-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15450 Iron Horse Cir",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662243852",
            "country_code": "US",
            "telephone_number": "913-499-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYNDALL",
        "first_name": "LARRY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "LP 0773",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "R 0306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuza Health, LLC
• Tova Leah Twersky, OTR/L
• Talia Christine Twillman, LMSW
• Caitlin Anne Tyler, MS, RDN, LDN
• Emily Josephine Tyler, PSYD, LP, HSP
• Jessie Tyree
• U.S. PT Therapy Services Inc. (Pinnacle Therapy Services)
• Stephanie Marie Ubel, DPT
• Hema Udupa, B.D.S.,M.S
• Jessica Beth Uffmann, APRN

• Psychologist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.