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TYLER PURYEAR
NPI 1609527365
Counselor - Mental Health in Providence, RI

Active since January 14, 2022PECOS EnrolledAccepts Medicare Assignment
194 WATERMAN ST, PROVIDENCE, RI 02906(401) 633-2929 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Puryear NPPES

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

TYLER PURYEAR (NPI 1609527365) is an individual mental health provider in Providence, Rhode Island and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2021).

NPPES Registry Identity

NPI1609527365
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTYLER PURYEAR
Location Address194 WATERMAN STProvidence, RI 02906-4015
Mailing Address194 Waterman StProvidence, RI 02906-4015 · (401) 633-2929
Phone(401) 633-2929
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2021
Enumeration DateJanuary 14, 2022
NPPES CertifiedJanuary 14, 2022
✔ NPI 1609527365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
194 WATERMAN ST, Providence, RI 02906
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyler Puryear 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.

PECOS PAC ID6507307915
PECOS Enrollment IDI20240925000171
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.

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.

ME PSYCHOTHERAPY, LLC
Community/Behavioral Health
194 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 633-2929
TAYLOR POIRIER LMHC
Counselor (Mental Health)
194 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 633-2929
MRS. TARA MITCHELL MARTINO MSN, RN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
194 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 633-2929
NATALIE AUSTIN MSN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
194 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 633-2929
MAE GLOMAN
Counselor (Mental Health)
194 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 633-2929
VICTORIA SHAUGHNESSY
Counselor (Mental Health)
194 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 633-2929
DEVON JERVIS
Counselor (Mental Health)
194 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 633-2929
DR. DAVID CLIFTON DOVE PH.D.
Psychologist (Clinical Child & Adolescent)
194 WATERMAN ST, SUITE 5
PROVIDENCE, RI 02906
Providence County (401) 533-3015

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 Puryear's NPI number?

The NPI number for Tyler Puryear is 1609527365. It was assigned to this individual provider in the NPPES registry on January 14, 2022.

Where is Tyler Puryear located?

Tyler Puryear practices at 194 Waterman St, Providence, RI 02906. The listed phone number is (401) 633-2929.

What is Tyler Puryear's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tyler Puryear enrolled in Medicare?

Yes. Tyler Puryear 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.

What insurance does Tyler Puryear accept?

Health plans from Harvard Pilgrim Health Care list Tyler Puryear 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 Puryear was last updated on January 14, 2022. 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.