MR. JONATHAN ALVIN TIEDEMAN SCHOOL PSYCHOLOGIST
NPI 1528545357
Psychologist - School in Fort Wayne, IN

Active since July 24, 2018
1200 BARR ST, FORT WAYNE, IN 46802(260) 467-1145 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 1, 2024, Jul 24, 2018 (2 updates tracked since 2018).

About Mr. Jonathan Alvin Tiedeman School Psychologist NPPES

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

MR. JONATHAN ALVIN TIEDEMAN SCHOOL PSYCHOLOGIST (NPI 1528545357) is an individual school provider in Fort Wayne, Indiana, licensed in Indiana (10068586) and active in the NPI registry since July 2018. He maintains a secondary practice location in Oakley.

NPPES Registry Identity

NPI1528545357
Entity TypeIndividualMale
Primary Taxonomy103TS0200X
Provider Legal NameMR. JONATHAN ALVIN TIEDEMANCredential: SCHOOL PSYCHOLOGIST
Location Address1200 BARR STFort Wayne, IN 46802-3502
Mailing Address1200 Barr StFort Wayne, IN 46802-3502 · (260) 467-1145
Sole ProprietorNo
Enumeration DateJuly 24, 2018
Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
NPI 1528545357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
License Licensed in IN · 10068586
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
1200 BARR ST, Fort Wayne, IN 46802

Secondary Practice Location 1

Location 1100 Simoni Ranch RdOakley, CA 94561-2787 · Phone (925) 625-7070 ext. 4232

Other Providers at the Same Location NPPES 16

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

Psychologist (School)
1200 BARR ST
FORT WAYNE, IN 46802
Psychologist (School)
1200 BARR ST
FORT WAYNE, IN 46802
Student in an Organized Health Care Education/Training Program
1200 BARR ST
FORT WAYNE, IN 46802
Psychologist (School)
1200 BARR ST
FORT WAYNE, IN 46802
Psychologist (School)
1200 BARR ST
FORT WAYNE, IN 46802
Psychologist (School)
1200 BARR ST
FORT WAYNE, IN 46802
Psychologist (School)
1200 BARR ST
FORT WAYNE, IN 46802
Psychologist (School)
1200 BARR ST
FORT WAYNE, IN 46802

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 Jonathan Tiedeman's NPI number?

The NPI number for Jonathan Tiedeman is 1528545357. It was assigned to this individual provider in the NPPES registry on July 24, 2018.

Where is Jonathan Tiedeman located?

Jonathan Tiedeman practices at 1200 Barr St, Fort Wayne, IN 46802. The listed phone number is (260) 467-1145.

What is Jonathan Tiedeman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

When was this NPI record last updated?

The NPPES record for Jonathan Tiedeman was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.