DR. CALLIE TYNER PHD
NPI 1275405706
Psychologist - Clinical in Newark, DE
About Dr. Callie Tyner Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CALLIE TYNER PHD (NPI 1275405706) is an individual clinical provider in Newark, Delaware, licensed in Delaware (B1-0001070) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Callie Tyner Phd 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.
Medicare Billing Reassignment
Medicare enrollment records show Callie Tyner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newtown Square, PA 19073
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,638 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEWARK, DE 19713
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 Callie Tyner's NPI number?
The NPI number for Callie Tyner is 1275405706. It was assigned to this individual provider in the NPPES registry on September 23, 2025.
Where is Callie Tyner located?
Callie Tyner practices at 100 Discovery Blvd, Newark, DE 19713. The listed phone number is (302) 831-1010.
What is Callie Tyner's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Callie Tyner enrolled in Medicare?
Yes. Callie Tyner 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.
Which organization bills Medicare for Callie Tyner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Callie Tyner reassigns Medicare benefits to Main Line Healthcare (Newtown Square, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Callie Tyner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Callie Tyner accept?
Health plans from Highmark Blue Cross Blue Shield Delaware list Callie Tyner 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 Callie Tyner was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Callie Tyner, PHD · NPI 1275405706
Clinical provider in Newark, Delaware. Individual provider, active in the CMS NPPES registry since September 23, 2025.
## Identity
- **NPI:** 1275405706 (Entity type: Individual)
- **Enumerated:** September 23, 2025
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** B1-0001070 (Delaware)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 DISCOVERY BLVD, Newark, DE 19713-1325
- **Phone:** (302) 831-1010
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Main Line Healthcare (NPI 1922077643, Newtown Square, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1275405706) · Data from the CMS NPPES public registry.