JONATHAN RIDENOUR, PA
NPI 1699233403
Psychologist in Tyler, TX

Active since March 11, 2019
4801 TROUP HWY STE 502, TYLER, TX 75703(972) 424-9212(972) 509-1450 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Ridenour, Pa NPPES

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

JONATHAN RIDENOUR, PA (NPI 1699233403) is a healthcare organization registered as a psychologist in Tyler, Texas and active in the NPI registry since March 2019. The organization lists Michelle Bice, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1699233403
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameJONATHAN RIDENOUR, PA
Location Address4801 TROUP HWY STE 502Tyler, TX 75703-2357
Mailing Address4801 Troup Hwy Ste 502Tyler, TX 75703-2357 · (903) 630-5788 · Fax (903) 630-5885
Fax(972) 509-1450
Organization SubpartNo
Authorized OfficialMichelle BiceOffice Manager · (903) 630-5788
Enumeration DateMarch 11, 2019
Last NPPES UpdateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
NPI 1699233403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4801 TROUP HWY STE 502, Tyler, TX 75703

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Psychologist
4801 TROUP HWY STE 502
TYLER, TX 75703

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 Ridenour, PA's NPI number?

The NPI number for Jonathan Ridenour, PA is 1699233403. It was assigned to this organization in the NPPES registry on March 11, 2019.

Where is Jonathan Ridenour, PA located?

Jonathan Ridenour, PA is located at 4801 Troup Hwy Ste 502, Tyler, TX 75703. The listed phone number is (972) 424-9212.

What is Jonathan Ridenour, PA's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

What insurance does Jonathan Ridenour, PA accept?

Health plans from Blue Cross and Blue Shield of Texas list Jonathan Ridenour, PA 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 Jonathan Ridenour, PA was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.