DR. TYLER MAXWELL DORITY PHD, LP
NPI 1104394212
Psychologist - Clinical in Mankato, MN

Active since November 06, 2018PECOS EnrolledAccepts Medicare Assignment
12 CIVIC CENTER PLZ STE 1615, MANKATO, MN 56001(507) 345-4679 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 2, 2022, Nov 6, 2018 (2 updates tracked since 2018).

About Dr. Tyler Maxwell Dority Phd, Lp NPPES

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

DR. TYLER MAXWELL DORITY PHD, LP (NPI 1104394212) is an individual clinical provider in Mankato, Minnesota, licensed in Minnesota (LP6328) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104394212
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TYLER MAXWELL DORITYCredential: PHD, LP
Location Address12 CIVIC CENTER PLZ STE 1615Mankato, MN 56001-7783
Mailing Address12 Civic Center Plz Ste 1615Mankato, MN 56001-7783 · (507) 345-4679
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 6, 2018
Last NPPES UpdateAugust 2, 20222 updates tracked since enumeration
NPPES CertifiedAugust 2, 2022
NPI 1104394212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MN · LP6328
Definition

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.

Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License LP6328 (MN)
Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License LP6328 (MN)
12 CIVIC CENTER PLZ STE 1615, Mankato, MN 56001

Secondary Practice Locations 2

Location 1922 Swift StSaint Peter, MN 56082-1844 · Phone (507) 364-5312 · Fax (507) 364-5908
Location 232298 State Highway 13Montgomery, MN 56069-4348 · Phone (507) 364-5312 · Fax (507) 364-5908

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Tyler Maxwell Dority Phd, Lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476968884
PECOS Enrollment IDI20210217001836
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
124 services17 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
82 services13 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
30 services11 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
12 CIVIC CENTER PLZ STE 1615
MANKATO, MN 56001
Counselor (Mental Health)
12 CIVIC CENTER PLZ STE 1615
MANKATO, MN 56001
Social Worker (Clinical)
12 CIVIC CENTER PLZ STE 1615
MANKATO, MN 56001

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 Tyler Dority's NPI number?

The NPI number for Tyler Dority is 1104394212. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Where is Tyler Dority located?

Tyler Dority practices at 12 Civic Center Plz Ste 1615, Mankato, MN 56001. The listed phone number is (507) 345-4679.

What is Tyler Dority's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Tyler Dority enrolled in Medicare?

Yes. Tyler Dority is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tyler Dority accept?

Health plans from HealthPartners list Tyler Dority as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Dority was last updated on August 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.