DR. MARY DOLORES TYLL PHD ABPP MSCP
NPI 1356498919
Psychologist - Clinical in Truth Or Consequences, NM

Q: What is Mary Tyll's NPI number?

The NPI number for Mary Tyll is 1356498919. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Q: What is Mary Tyll's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Tyll was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since January 05, 2007

509 MARR ST, TRUTH OR CONSEQUENCES, NM 87901(915) 929-9362 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mary Dolores Tyll Phd Abpp Mscp NPPES

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

DR. MARY DOLORES TYLL PHD ABPP MSCP (NPI 1356498919) is an individual clinical provider in Truth Or Consequences, New Mexico, licensed in Florida (PY 6142) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1356498919

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARY DOLORES TYLLCredential: PHD ABPP MSCP

Location Address509 MARR STTruth Or Consequences, NM 87901-3335

Mailing Address509 Marr StTruth Or Consequences, NM 87901-3335 · (915) 929-9362

Phone(915) 929-9362

Sole ProprietorNo

Enumeration DateJanuary 5, 2007

Last NPPES UpdateApril 17, 2025

NPPES CertifiedApril 17, 2025

✔ NPI 1356498919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in FL · PY 6142✔ Licensed in NM · 1310

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 · Prescribing (Medical)Taxonomy 103TP0016X · License PSY-RXP0061 (NM)

509 MARR ST, Truth Or Consequences, NM 87901

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Other Identifiers 3

OtherPSY-RXP0061NM · Prescribing Psychologist

Other1310NM · Nm Board Of Psychologist Examiners-psychology

OtherPY6142FL · Florida Department Of Health Division Of Medical Quality Assurance-psychology

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 Mary Tyll's NPI number?

The NPI number for Mary Tyll is 1356498919. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Mary Tyll located?

Mary Tyll practices at 509 Marr St, Truth Or Consequences, NM 87901. The listed phone number is (915) 929-9362.

What is Mary Tyll's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Tyll was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.