Tyler Rickards, PH.D.

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

License

05665 Issued in MD

Practice address

600 N Wolfe St
Meyer 1-163
Baltimore, MD 21287-0005

Phone

(814) 330-7464

NPI assigned

Nov 4, 2014

Sex

Male

Sole proprietor

No

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

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Drlullaby LLC

  • Clinic/Center
  • Baltimore, MD
  • NPI 1568178689
  Medicare reassignment NPD
• Northwest Hospital Center, Inc

  • Hospitalist Physician
  • Randallstown, MD
  • NPI 1508961988
  Medicare reassignment NPD
• Sinai Hospital of Baltimore Inc

  • Surgical Critical Care Physician
  • Baltimore, MD
  • NPI 1043235666
  Medicare reassignment NPD
• University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1477530624
  Medicare reassignment NPD
• Northwest Hospital Center, Inc

  • Neurology Physician
  • Randallstown, MD
  • NPI 1467462028
  NPD
• Northwest Hospital Center, Inc.

  • Acute Care Nurse Practitioner
  • Randallstown, MD
  • NPI 1235669599
  NPD
• Sinai Hospital of Baltimore Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1669497285
  NPD
• Sinai Hospital of Baltimore, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1285672204
  NPD
• University of Maryland Community Medical Group, Inc.

  • Psychiatry Physician
  • La Plata, MD
  • NPI 1679393854
  NPD

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1962807867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 GREENSPRING AVE STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094358",
            "telephone_number": "410-601-1958",
            "fax_number": "410-601-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST",
            "address_2": "MEYER 1-163",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "814-330-7464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5415 Old Court Rd",
            "address_purpose": "LOCATION",
            "city": "Randallstown",
            "state": "MD",
            "postal_code": "211335170",
            "country_code": "US",
            "telephone_number": "410-601-1958",
            "fax_number": "410-601-7828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Kernan Dr",
            "address_purpose": "LOCATION",
            "city": "Gwynn Oak",
            "state": "MD",
            "postal_code": "212076665",
            "country_code": "US",
            "telephone_number": "410-448-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKARDS",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-04",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MD",
            "license": "05665",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "MD",
            "license": "05665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A Richter
• Ronald C Richter, M.D.
• Sharon Richter, D.O.
• Theresa Marie Richter, ATC
• John Rickard
• Robert Rickert-Murphy, MD
• Morgen Ricketts, MD
• Nicole Elizabeth Ricketts
• Catherine Elizabeth Rickrode, LCSW-C
• Kourtney Alissa Ricks, MD

• Behavioral Neurology & Neuropsychiatry Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.