Active NPI
Shirley K. Tyler, PH.D.
- Clinical Psychologist
- Grand Forks, ND
National Provider Identifier
1992851703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- ND113
- Practice address
- 2100 S Columbia Rd
Suite 202
Grand Forks, ND 58201-5895 - Phone
- (701) 772-1588
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
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 | ND113 | ND | |
| Clinical Psychologist | 103TC0700X | ND113 | ND | Primary |
Addresses
Primary practice location
2100 S Columbia Rd
Suite 202
Grand Forks, ND 58201-5895
Mailing address
421 Highland Orchard Rd
Underwood, WA 98651-9132
Phone (509) 493-4903
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BCBS 22726TY | Other | ND | NDBCBS HEALTH INSURANCE |
| 16918 | Medicaid | ND | |
| MNBCBS2H519FA | Other | MN | MNBCBS HEALTH INSURANCE |
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 |
|---|---|---|---|
| ND113 | ND | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Institute, PC | Clinical | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Grand Forks, ND
- NPI 1003832783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1992851703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 HIGHLAND ORCHARD RD",
"city": "UNDERWOOD",
"state": "WA",
"postal_code": "986519132",
"telephone_number": "509-493-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 S COLUMBIA RD",
"address_2": "SUITE 202",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582015895",
"telephone_number": "701-772-1588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "SHIRLEY",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ND",
"license": "ND113",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ND",
"license": "ND113",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NDBCBS HEALTH INSURANCE",
"identifier": "BCBS 22726TY",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16918",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MNBCBS HEALTH INSURANCE",
"identifier": "MNBCBS2H519FA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.