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TYANNA MCDAVID
NPI 1659008431
Marriage & Family Therapist in Los Angeles, CA

Active since August 02, 2022PECOS Enrolled
5675 W OLYMPIC BLVD, LOS ANGELES, CA 90036(216) 583-6791 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 28, 2022, Aug 2, 2022 (2 updates tracked since 2022).

About Tyanna Mcdavid NPPES

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

TYANNA MCDAVID (NPI 1659008431) is an individual marriage & family therapist in Los Angeles, California, licensed in California (LMFT153169) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1659008431
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTYANNA MCDAVID
Location Address5675 W OLYMPIC BLVDLos Angeles, CA 90036-4712
Mailing Address5675 W Olympic BlvdLos Angeles, CA 90036-4712
Phone(216) 583-6791
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 2, 2022
Last NPPES UpdateApril 15, 20252 updates tracked since enumeration
NPPES CertifiedApril 15, 2025
✔ NPI 1659008431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · LMFT153169
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
5675 W OLYMPIC BLVD, Los Angeles, CA 90036
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyanna Mcdavid is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406338417
PECOS Enrollment IDI20260306003294
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.

Medicare Billing Reassignment

Medicare enrollment records show Tyanna Mcdavid reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
307 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KELLY SLATER
Student in an Organized Health Care Education/Training Program
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036
Los Angeles County (323) 965-1365
EDVA RACHEL SIMS
Marriage & Family Therapist
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036
Los Angeles County (323) 965-1365
KIMBERLY ST ROMAIN
Marriage & Family Therapist
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036
Los Angeles County (323) 965-1365
NATHAN TODD LEVIN
Counselor (Addiction (Substance Use Disorder))
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036
Los Angeles County (323) 965-1365
SARA LYNN BERMAN
Marriage & Family Therapist
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036
Los Angeles County (323) 965-1365
GREG CHULDJIAN
Counselor (Addiction (Substance Use Disorder))
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036
Los Angeles County (323) 965-1365
JOHN HAGEN
Counselor (Addiction (Substance Use Disorder))
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036
Los Angeles County (323) 965-1365
JOSEPH CASACELI JR.
Counselor (Addiction (Substance Use Disorder))
5675 W OLYMPIC BLVD
LOS ANGELES, CA 90036
Los Angeles County (310) 867-4798

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 Tyanna Mcdavid's NPI number?

The NPI number for Tyanna Mcdavid is 1659008431. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Tyanna Mcdavid located?

Tyanna Mcdavid practices at 5675 W Olympic Blvd, Los Angeles, CA 90036. The listed phone number is (216) 583-6791.

What is Tyanna Mcdavid's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Tyanna Mcdavid enrolled in Medicare?

Yes. Tyanna Mcdavid is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tyanna Mcdavid's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyanna Mcdavid reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). 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 Tyanna Mcdavid's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tyanna Mcdavid was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.