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SHAWN TYSON
NPI 1164064044
Counselor - Addiction (Substance Use Disorder) in Hartford, CT

Active since October 12, 2019
330 MAIN ST FL 1, HARTFORD, CT 06106(860) 778-9078 Get Directions Write a Review

NPPES record last updated: October 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shawn Tyson NPPES

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

SHAWN TYSON (NPI 1164064044) is an individual addiction (substance use disorder) provider in Hartford, Connecticut, licensed in Connecticut (1329) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1164064044
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSHAWN TYSON
Location Address330 MAIN ST FL 1Hartford, CT 06106-1851
Mailing AddressPo Box 331271West Hartford, CT 06133-1271 · (860) 778-9078
Phone(860) 778-9078
Sole ProprietorYes
Enumeration DateOctober 12, 2019
✔ NPI 1164064044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CT · 1329
330 MAIN ST FL 1, Hartford, CT 06106
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Other Identifiers 1

Medicaid1329CT

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 Shawn Tyson's NPI number?

The NPI number for Shawn Tyson is 1164064044. It was assigned to this individual provider in the NPPES registry on October 12, 2019.

Where is Shawn Tyson located?

Shawn Tyson practices at 330 Main St Fl 1, Hartford, CT 06106. The listed phone number is (860) 778-9078.

What is Shawn Tyson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shawn Tyson was last updated on October 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.