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PHAROAH ROMANZ TYNES
NPI 1053723312
Counselor - Mental Health in Stockton, CA

Active since May 21, 2014
306 E MAIN ST, STOCKTON, CA 95202(209) 478-4554 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pharoah Romanz Tynes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHAROAH ROMANZ TYNES (NPI 1053723312) is an individual mental health provider in Stockton, California and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1053723312
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NamePHAROAH ROMANZ TYNES
Location Address306 E MAIN STStockton, CA 95202-2908
Mailing Address306 E Main StStockton, CA 95202-2908 · (209) 478-4554
Phone(209) 478-4554
Sole ProprietorNo
Enumeration DateMay 21, 2014
Last NPPES UpdateOctober 4, 2021
NPPES CertifiedOctober 4, 2021
✔ NPI 1053723312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
306 E MAIN ST, Stockton, CA 95202
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT CASAREZ
Counselor (Mental Health)
306 E MAIN ST
STOCKTON, CA 95202
San Joaquin County (209) 478-4554
ERICA V SORIANO
Community Health Worker
306 E MAIN ST
STOCKTON, CA 95202
San Joaquin County (209) 478-4554
PRISCILLA B PANIAGUA
Day Training/Habilitation Specialist
306 E MAIN ST
STOCKTON, CA 95202
San Joaquin County (209) 884-2223
MONIQUE JOSEPHINE CARRILLO
Day Training/Habilitation Specialist
306 E MAIN ST
STOCKTON, CA 95202
San Joaquin County (209) 478-4554
CHARLES DEVITO III
Community Health Worker
306 E MAIN ST
STOCKTON, CA 95202
San Joaquin County (209) 478-4554
CLARA LUZ ESPERANZA MARTIN
Social Worker (Clinical)
306 E MAIN ST
STOCKTON, CA 95202
San Joaquin County (209) 478-4554
HEATHER CASAREZ
Counselor (Mental Health)
306 E MAIN ST
STOCKTON, CA 95202
San Joaquin County (209) 478-4554
TANAY ROCHELL
Community Health Worker
306 E MAIN ST
STOCKTON, CA 95202
San Joaquin County (209) 478-4554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pharoah Tynes's NPI number?

The NPI number for Pharoah Tynes is 1053723312. It was assigned to this individual provider in the NPPES registry on May 21, 2014.

Where is Pharoah Tynes located?

Pharoah Tynes practices at 306 E Main St, Stockton, CA 95202. The listed phone number is (209) 478-4554.

What is Pharoah Tynes's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Pharoah Tynes was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.