DR. TYLER PENDLETON PHD
NPI 1568133254
Psychologist - Clinical in Ann Arbor, MI

Active since September 23, 2021PECOS Enrolled
2215 FULLER RD, ANN ARBOR, MI 48105(734) 769-7100 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tyler Pendleton Phd NPPES

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

DR. TYLER PENDLETON PHD (NPI 1568133254) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6301018974) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1568133254
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TYLER PENDLETONCredential: PHD
Location Address2215 FULLER RDAnn Arbor, MI 48105-2303
Mailing Address2215 Fuller RdAnn Arbor, MI 48105-2303
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 23, 2021
NPPES CertifiedSeptember 23, 2021
NPI 1568133254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MI · 6301018974
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.
2215 FULLER RD, Ann Arbor, MI 48105

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Tyler Pendleton Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880108877
PECOS Enrollment IDI20250710001856
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Registered Nurse
2215 FULLER RD
ANN ARBOR, MI 48105
Anesthesiology
2215 FULLER RD
ANN ARBOR, MI 48105
Registered Nurse
2215 FULLER RD, RADIATION ONCOLOGY 114B
ANN ARBOR, MI 48105
Registered Nurse
2215 FULLER RD
ANN ARBOR, MI 48105
Counselor (Mental Health)
2215 FULLER RD
ANN ARBOR, MI 48105
Registered Nurse
2215 FULLER RD
ANN ARBOR, MI 48105
Physical Therapy Assistant
2215 FULLER RD
ANN ARBOR, MI 48105
Physical Therapy Assistant
2215 FULLER RD
ANN ARBOR, MI 48105

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 Tyler Pendleton's NPI number?

The NPI number for Tyler Pendleton is 1568133254. It was assigned to this individual provider in the NPPES registry on September 23, 2021.

Where is Tyler Pendleton located?

Tyler Pendleton practices at 2215 Fuller Rd, Ann Arbor, MI 48105. The listed phone number is (734) 769-7100.

What is Tyler Pendleton's specialty?

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

Is Tyler Pendleton enrolled in Medicare?

Yes. Tyler Pendleton is registered in the Medicare PECOS enrollment system.

What insurance does Tyler Pendleton accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 2 other insurers list Tyler Pendleton 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 Tyler Pendleton was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.