Individual provider Active NPI

Dennis E Tyrell, PH.D

  • Counseling Psychologist
  • Milton, MA
National Provider Identifier
1801809181
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
8124 Issued in MA
Practice address
720 Canton Ave
Milton, MA 02186-3134
Phone
(617) 901-2201
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 8124 MA Primary

Addresses

Primary practice location

720 Canton Ave
Milton, MA 02186-3134

Mailing address

720 Canton Ave
Milton, MA 02186-3134
Phone (617) 298-7165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060919000025 MA Practitioner - Clinical Psychologist 5193728533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ashmont Counseling Associates LLCGroup PAC ID 5991886731, 2 clinicians

Practice addresses (Care Compare)

172 Ashmont St
Dorchester, MA 02124-3745
Phone (617) 282-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8124MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashmont Counseling Associates LLC Counseling CurrentSince Dec 20, 2007 Accepting new patients
Dynamic Wellness Connection Inc Past Accepting new patients

Locations

172 Ashmont St
Dorchester Center, MA 02124
Phone (617) 224-7289

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1801809181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 CANTON AVE",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863134",
            "telephone_number": "617-298-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 CANTON AVE",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863134",
            "telephone_number": "617-901-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYRELL",
        "first_name": "DENNIS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "8124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

Verify at the official NPI Registry.