Individual provider Active NPI

Marilou B Patalinjug Tyner, MD

  • Psychiatry Physician
  • Nashua, NH
National Provider Identifier
1811901689
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0842 Issued in NH
Practice address
7 Prospect St.
Nashua, NH 03060
Phone
(603) 889-6147
Fax
(603) 883-1568
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 21257 WV
Psychiatry Physician 2084P0800X 0842 NH Primary

Addresses

Primary practice location

7 Prospect St.
Nashua, NH 03060

Mailing address

7 Prospect St.
Nashua, NH 03060
Phone (603) 889-6147

Other identifiers 1

IdentifierTypeStateIssuer
3004199000MedicaidWV

Other names 1

  • Dr. Marilou B. Patalinjug Tyner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160504002001 NH Practitioner - PsychiatryPractitioner - Other (Physician) 4587607676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Council of Nashua NH IncGroup PAC ID 4486616612, 27 clinicians

Practice addresses (Care Compare)

7 Prospect St
Nashua, NH 03060-3921
Phone (603) 889-6147

Hospital & facility affiliations

  • Southern NH Medical Center Hospital, Nashua, NH, CCN 300020
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0842NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Council of Nashua NH, Inc. CurrentSince Mar 7, 2016 Accepting new patients

Locations

100 W Pearl St
Nashua, NH 03060
Phone 60388961473189

7 Prospect St
Nashua, NH 03060
Phone (603) 816-7146

440 Amherst St
Nashua, NH 03063

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1811901689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PROSPECT ST.",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03060",
            "telephone_number": "603-889-6147",
            "fax_number": "603-883-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PROSPECT ST.",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03060",
            "telephone_number": "603-889-6147",
            "fax_number": "603-883-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATALINJUG TYNER",
        "first_name": "MARILOU",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "21257",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "0842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004199000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILOU",
            "last_name": "PATALINJUG TYNER",
            "middle_name": "B.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.