DR. ELENA AURORA TYSON PH.D.
NPI 1124649090
Psychologist in Rio Rancho, NM

Active since May 02, 2020PECOS EnrolledAccepts Medicare Assignment
2600 COLLEGE AVE NE, RIO RANCHO, NM 87144(505) 994-5050 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2023, May 24, 2023, Apr 4, 2023 (3 updates tracked since 2023).

About Dr. Elena Aurora Tyson Ph.d. NPPES

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

DR. ELENA AURORA TYSON PH.D. (NPI 1124649090) is an individual psychologist in Rio Rancho, New Mexico, licensed in New Mexico (PSY-2023-0024) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124649090
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ELENA AURORA TYSONCredential: PH.D.
Location Address2600 COLLEGE AVE NERio Rancho, NM 87144-2103
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 2, 2020
Last NPPES UpdateOctober 29, 20243 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
NPI 1124649090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NM · PSY-2023-0024
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY-2023-0024 (NM)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY-2023-0024 (NM)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License PSY-2023-0024 (NM)
2600 COLLEGE AVE NE, Rio Rancho, NM 87144

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. Elena Aurora Tyson Ph.d. 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 ID941657241
PECOS Enrollment IDI20231108001244
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.

Other Providers at the Same Location NPPES 5

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

Case Manager/Care Coordinator
2600 COLLEGE AVE NE
RIO RANCHO, NM 87144
Psychologist
2600 COLLEGE AVE NE
RIO RANCHO, NM 87144
Case Manager/Care Coordinator
2600 COLLEGE AVE NE
RIO RANCHO, NM 87144
Case Manager/Care Coordinator
2600 COLLEGE AVE NE
RIO RANCHO, NM 87144
Nurse Practitioner (Psychiatric/Mental Health)
2600 COLLEGE AVE NE
RIO RANCHO, NM 87144

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 Elena Tyson's NPI number?

The NPI number for Elena Tyson is 1124649090. It was assigned to this individual provider in the NPPES registry on May 2, 2020.

Where is Elena Tyson located?

Elena Tyson practices at 2600 College Ave NE, Rio Rancho, NM 87144. The listed phone number is (505) 994-5050.

What is Elena Tyson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Elena Tyson enrolled in Medicare?

Yes. Elena Tyson 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.

When was this NPI record last updated?

The NPPES record for Elena Tyson was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.