Olena Tetyuk, LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361007787 Issued in MI

Practice address

359 Livernois St Ste 202
Ferndale, MI 48220-2676

Phone

(248) 256-5417

NPI assigned

Sep 7, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Iris Wellness Center PLLC

  • Psychologist
  • Ferndale, MI
  • NPI 1255172276
  NPD Authorized official

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1902575749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 LIVERNOIS ST STE 202",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202676",
            "telephone_number": "248-256-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 LIVERNOIS ST STE 202",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202676",
            "telephone_number": "248-256-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETYUK",
        "first_name": "OLENA",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361007787",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361007787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Beth Tam, DO
• Amanda Tanner
• Lawrence Jude Tantay, LLMSW
• Priscilla Taylor, MS, LLP
• Beatrice Terrell
• The Imperial Elite LLC
• The Nelson Center for Mindful Synergy
• The Nutrition Collective L.L.C.
• Therapeutic Lifestyle Changes, Inc (Healthy U)
• Therapy Management Enterprises Inc.

• Psychologist in Ferndale, MI
• Providers in Ferndale, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.