Active NPI
Terri Fernandez-Tyson, PH.D.
- Psychologist
- Helena, MT
National Provider Identifier
1912311549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY-PSY-LIC-1193
- Practice address
- 301 N Warren St
Helena, MT 59601-4030 - Phone
- (406) 431-3790
- NPI assigned
- Jun 11, 2014
- Last updated
- Jun 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY-PSY-LIC-1193 | MT | Primary |
| Psychologist | 103T00000X | PSY-202256 | ID |
Addresses
Primary practice location
301 N Warren St
Helena, MT 59601-4030
Mailing address
PO Box 330
Helena, MT 59624-0330
Phone (406) 431-3790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-202256 | ID | MD | Psychologist |
| PSY-PSY-LIC-1193 | MT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402444800000",
"number": "1912311549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 330",
"city": "HELENA",
"state": "MT",
"postal_code": "596240330",
"telephone_number": "406-431-3790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N WARREN ST",
"city": "HELENA",
"state": "MT",
"postal_code": "596014030",
"telephone_number": "406-431-3790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ-TYSON",
"first_name": "TERRI",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-11",
"last_updated": "2014-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MT",
"license": "PSY-PSY-LIC-1193",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ID",
"license": "PSY-202256",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.