DR. JONATHAN MICHAEL RIDENOUR PSYD
NPI 1760703003
Psychologist in Tyler, TX

Active since June 22, 2010PECOS EnrolledAccepts Medicare Assignment
4801 TROUP HWY STE 502, TYLER, TX 75703(903) 630-5788(903) 630-5885 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jonathan Michael Ridenour Psyd NPPES

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

DR. JONATHAN MICHAEL RIDENOUR PSYD (NPI 1760703003) is an individual psychologist in Tyler, Texas, licensed in Texas (34806) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1760703003
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JONATHAN MICHAEL RIDENOURCredential: PSYD
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(903) 630-5885
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 22, 2010
Last NPPES UpdateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
NPI 1760703003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in TX · 34806
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

Other Identifiers 1

Other34806Texas License

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 and accepts Medicare assignment

Dr. Jonathan Michael Ridenour Psyd 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 ID9234302985
PECOS Enrollment IDI20111025000866
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
238 services24 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
140 services18 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
71 services24 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
37 services37 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
23 services23 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
23 services23 patients

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's NPI number?

The NPI number for Jonathan Ridenour is 1760703003. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is Jonathan Ridenour located?

Jonathan Ridenour practices at 4801 Troup Hwy Ste 502, Tyler, TX 75703. The listed phone number is (903) 630-5788.

What is Jonathan Ridenour's specialty?

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

Is Jonathan Ridenour enrolled in Medicare?

Yes. Jonathan Ridenour 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 Jonathan Ridenour accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Jonathan Ridenour 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 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.