Individual provider Active NPI

Michael Tyler, M.D.

  • Psychiatry Physician
  • Auburn, CA
National Provider Identifier
1902868847
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
156207 Issued in CA
Practice address
11670 Atwood Rd
Auburn, CA 95603-9522
Phone
(530) 887-2800
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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 MD00030739 WA
Psychiatry Physician 2084P0800X 156207 CA Primary

Addresses

Primary practice location

11670 Atwood Rd
Auburn, CA 95603-9522

Mailing address

114 W 7TH St Ste 900
Austin, TX 78701-3013

Other practice location 1

257 N Butte St
Willows, CA 95988-2803
Phone (530) 330-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190416002624 CA Practitioner - Psychiatry 9335179209 Reassigns benefits to 2 organizations
I20241023000777 TX Practitioner - Psychiatry 9335179209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical School at San Antonio, 1984
Medicare assignment
May accept Medicare assignment
Group practices
Chapa-de Indian Health Program, Inc.Group PAC ID 4981688520, 54 clinicians
Northern Valley Indian Health IncGroup PAC ID 1557493723, 35 clinicians

Practice addresses (Care Compare)

1350 E Main St
Grass Valley, CA 95945-5208
Phone (530) 477-8545

207 N Butte St
Willows, CA 95988-2803
Phone (530) 934-9293

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
156207CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Valley Indian Health Inc CurrentSince Aug 10, 2024 Accepting new patients
Feather River Tribal Health Inc CurrentSince Jun 24, 2019 Accepting new patients
Northern Valley Indian Health Inc CurrentSince Aug 10, 2024 Accepting new patients
Chapa-de Indian Health Program, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Valley Community Services Board Past Accepting new patients
Horizon Behavioral Health PastSince Jan 4, 2012 Accepting new patients
Northern Valley Indian Health Past Accepting new patients
Northwestern Community Services Board Psychiatry PastSince Nov 1, 2006 Accepting new patients

Locations

11670 Atwood Rd
Auburn, CA 95603
Phone (530) 887-2800

1990 Concord Ave
Chico, CA 95928
Phone (530) 809-3300

1350 E Main St
Grass Valley, CA 95945
Phone (530) 477-8545

2145 5th Ave
Oroville, CA 95965
Phone (530) 534-3793

207 N Butte St
Willows, CA 95988
Phone (530) 934-4641

Interoperability endpoints

  • Direct secure messaging: michael.tyler@nvih.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHHIAD

Organizations & group practices 8

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1902868847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W 7TH ST STE 900",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787013013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11670 ATWOOD RD",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039522",
            "telephone_number": "530-887-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "257 N Butte St",
            "address_purpose": "LOCATION",
            "city": "Willows",
            "state": "CA",
            "postal_code": "959882803",
            "country_code": "US",
            "telephone_number": "530-330-8800",
            "fax_number": "530-934-3285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYLER",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00030739",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "156207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

Verify at the official NPI Registry.