TYISHA MERRITT NPI 1770028110

NPI Information

  • NPI: 1770028110
  • Provider Name: TYISHA MERRITT
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 391 TAYLOR BLVD STE 100
    PLEASANT HILL, CA
    ZIP 94523
  • Phone: (925) 608-6550

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NPI Details

Tyisha Merritt is a peer specialist in Pleasant Hill, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Tyisha Merritt NPI is 1770028110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

391 TAYLOR BLVD STE 100
PLEASANT HILL, CA
ZIP 94523-289
Phone: (925) 608-6550
Fax: (925) 608-6592

The enumeration date for this NPI number is 12/20/2016 and was last updated on 7/17/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthCALIFORNIANo
2172V00000XCommunity Health WorkerNo
3373H00000XDay Training/Habilitation SpecialistNo
4175T00000XPeer SpecialistMPSS-QXSVAOCALIFORNIAYes

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: 11/21/2025

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