BAYSIDE PSYCHOLOGY SERVICES, LLC
NPI 1922388909
Psychologist - Clinical in Niceville, FL

Active since August 23, 2011
4400 E HIGHWAY 20, STE 305, NICEVILLE, FL 32578(850) 279-6750(850) 279-6752 Get Directions Write a Review

NPPES record last updated: August 23, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bayside Psychology Services, Llc NPPES

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

BAYSIDE PSYCHOLOGY SERVICES, LLC (NPI 1922388909) is a healthcare organization registered as a clinical in Niceville, Florida and active in the NPI registry since August 2011. The organization lists Gretchen Chapman Tyler, Licensed Psychologist / President, as its authorized official.

NPPES Registry Identity

NPI1922388909
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBAYSIDE PSYCHOLOGY SERVICES, LLC
Location Address4400 E HIGHWAY 20, STE 305Niceville, FL 32578-8779
Mailing Address4400 E Highway 20, Ste 305Niceville, FL 32578-8779 · (850) 279-6750 · Fax (850) 279-6752
Fax(850) 279-6752
Organization SubpartNo
Authorized OfficialGretchen Chapman TylerLicensed Psychologist / President · (850) 279-6750
Enumeration DateAugust 23, 2011
NPI 1922388909 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 FL · 5264
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.
4400 E HIGHWAY 20, Niceville, FL 32578

Other Identifiers 2

Medicare UPIN54072WFL
Medicare UPIN45577FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

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

Dentist
4400 E HIGHWAY 20, SUITE 101
NICEVILLE, FL 32578
Doula
4400 E HIGHWAY 20, SUITE 206
NICEVILLE, FL 32578
Hearing Instrument Specialist
4400 E HIGHWAY 20, STE 211
NICEVILLE, FL 32578
Clinic/Center (Medical Specialty)
4400 E HIGHWAY 20, SUITE 209
NICEVILLE, FL 32578
Clinic/Center (Urgent Care)
4400 E HIGHWAY 20, STE 209
NICEVILLE, FL 32578
Physician Assistant
4400 E HIGHWAY 20
NICEVILLE, FL 32578
Dentist (Oral and Maxillofacial Surgery)
4400 E HIGHWAY 20, STE 111
NICEVILLE, FL 32578
Dermatology
4400 E HIGHWAY 20, STE 410
NICEVILLE, FL 32578

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 Bayside Psychology Services, LLC's NPI number?

The NPI number for Bayside Psychology Services, LLC is 1922388909. It was assigned to this organization in the NPPES registry on August 23, 2011.

Where is Bayside Psychology Services, LLC located?

Bayside Psychology Services, LLC is located at 4400 E Highway 20 Ste 305, Niceville, FL 32578. The listed phone number is (850) 279-6750.

What is Bayside Psychology Services, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Bayside Psychology Services, LLC was last updated on August 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.