MR. ROBERT TYLER REIDENBAUGH (NPI# 1487097762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487097762 |
| Entity Type | Individual |
| Full Name | MR. ROBERT TYLER REIDENBAUGH |
| Other Name | TY REIDENBAUGH |
| Credential | MD |
| Practice Address |
12101 Ambaum Blvd Sw Burien WA 98146 |
| Mailing Address |
Po Box 4369 Boise ID 83711-4369 |
| Practice Telephone | 2069666273 |
| Mailing Telephone | 2088102310 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD60704017 | WA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11234 Anderson St, Gme Office Westerly Suite C, Loma Linda, CA 923542804 | 9095584074 |
| Street Address |
12101 AMBAUM BLVD SW |
| City | BURIEN |
| State | WA |
| Zip Code | 98146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164538062 | Duffy I, Lp | Rehabilitation Hospital | 12101 Ambaum Blvd Sw, Burien, WA 98146-2651 | 2006-08-22 |
| 1316421803 | R Tyler Reidenbaugh Md Pllc | Substance Abuse Rehabilitation Facility | 12101 Ambaum Blvd Sw, Burien, WA 98146-2651 | 2018-09-20 |
| 1588832257 | Duffy Physicians, P.s. | Special Hospital | 12101 Ambaum Blvd Sw, Burien, WA 98146-2651 | 2008-02-15 |
| 1497880355 | John R Moran | Psychiatry & Neurology | 12101 Ambaum Blvd Sw, Burien, WA 98146-2651 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063998946 | Vinh T Nguyen | Pharmacist | 10248- 17th Ave Sw, Seattle, WA 98146 | 2018-07-13 |
| 1386032233 | Bowie James Mclean | Counselor | 480 Sw 134th St, Burien, WA 98146 | 2014-12-30 |
| 1518367200 | Joy Hilliker | Counselor | 10803 44th Ave Sw, Seattle, WA 98146 | 2014-08-29 |
| 1841534344 | Phuonglinh Tran | Speech-Language Pathologist | 10811 12th Avenue Southwest, Seattle, WA 98146 | 2012-11-21 |
| 1174867741 | Dorothy Winkler Phelps | Registered Nurse | 2725 Sw116th Street, Burien, WA 98146 | 2012-11-20 |
| 1578829529 | Aaron Thomas Kent | Massage Therapist | 304 Sw 106th St, Seattle, WA 98146 | 2012-04-04 |
| 1154651933 | Robert Anthony Yap | Nurse Practitioner | 12459 Ambaum Blvd S.w., Unit A, Burien, WA 98146 | 2009-12-30 |
| 1952536690 | Renee Dorothea Patterson | Massage Therapist | 11645 23rs Ave Sw, Seattle, WA 98146 | 2009-05-26 |
| 1518125368 | Leeanne Casal | Massage Therapist | 10223 16th Sw, Seattle, WA 98146 | 2008-05-29 |
| 1629299474 | Bryn Annette Karlberg | Massage Therapist | 12263 Shorewood Drive Sw, Seattle, WA 98146 | 2007-05-01 |
| Find all providers in zip 98146 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689613085 | Shannon L Corbin | Psychiatry & Neurology | 1210 Sw 136th St, Navos Mhwc, Burien, WA 98166-1214 | 2006-06-05 |
| 1033529284 | April Raye Hunziker | Psychiatry & Neurology | 16251 Sylvester Rd Sw, Burien, WA 98166 | 2014-04-28 |
| 1164733184 | Tovi Avnon | Psychiatry & Neurology | 15811 Ambaum Blvd Sw, Ste 110, Burien, WA 98166-3066 | 2010-06-24 |
| 1639207145 | Lisa M Hacker | Psychiatry & Neurology | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2007-02-28 |
| 1417000852 | Lewis A Vanosdel IIi | Psychiatry & Neurology | 1033 Sw 152nd St, Navos Sunstone Youth Residential, Burien, WA 98166 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952766 | Nvelup Telehealth Pllc | Psychiatry & Neurology | 804 N Monroe St Ste 502, Spokane, WA 99201-2110 | 2020-08-11 |
| 1609493105 | Voyager Behavioral Health Pllc | Psychiatry & Neurology | 1715 W Rain Ln, Spokane, WA 99208-5091 | 2020-06-30 |
| 1962027045 | Peter Lucas, Pllc | Psychiatry & Neurology | 10191 Ne Beach Crest Dr, Bainbridge Island, WA 98110-1368 | 2020-06-15 |
| 1285269449 | Helpprn Pllc | Psychiatry & Neurology | 7006 40th Ave Ne, Seattle, WA 98115-6006 | 2020-03-09 |
| 1700436367 | Danielle Roche Paschall | Psychiatry & Neurology | 102 23rd Ave Se Ste A, Puyallup, WA 98372-4501 | 2019-09-16 |
| 1396390845 | Penny Leah Tanner, P.s. | Psychiatry & Neurology | 7424 Bridgeport Way W Ste 302, Lakewood, WA 98499-8135 | 2019-08-01 |
| 1154987931 | Advanced Wellness Mental Health, Pllc | Psychiatry & Neurology | 26828 Maple Valley Highway, #202, Maple Valley, WA 98038-1262 | 2019-05-16 |
| 1619449030 | Frances R Goldie | Psychiatry & Neurology | 7410 228th St Sw, Edmonds, WA 98026-8474 | 2018-12-24 |
| 1881162345 | Jillian Yoshimoto Do Pllc | Psychiatry & Neurology | 7100 132nd Pl Se Apt 106, Newcastle, WA 98059-3149 | 2018-11-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.