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RONALD B TYE PSYD ASSOCIATES PA NPI 1194837351


NPI Information

NPI: 1194837351
Provider Name: RONALD B TYE PSYD ASSOCIATES PA

Doing Business As: TREASURE VALLEY PSYCHOLOGICAL SERVICES

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
6003 OVERLAND ROAD STE 301
BOISE, ID
ZIP 83709
Phone: (208) 672-8699
Get Directions

RONALD B TYE PSYD ASSOCIATES PA is a clinical psychologist in Boise, ID. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. RONALD B TYE PSYD ASSOCIATES PA NPI is 1194837351. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Treasure Valley Psychological Services.

The provider's business location address is:

6003 OVERLAND ROAD STE 301
BOISE, ID
ZIP 83709-014
Phone: (208) 672-8699
Fax: (208) 672-9308

The provider's authorized official is Ronald B Tye .
The authorized official title is Clinical Director President and has the following contact phone number (208) 672-8699.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/15/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPSY3208ARIZONANo
2103TC0700XPsychologistClinicalPSY316IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11681100MEDICARE ID-TYPE UNSPECIFIEDIDAHO
2000010017563OTHERIDAHOBLUE SHIELD
3805455300MEDICAIDIDAHO
4N5228OTHERIDAHOBLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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