DAVID TIERNEY PHD
NPI 1962073338
Psychologist in Johnson City, TN

Active since July 07, 2021PECOS EnrolledAccepts Medicare Assignment
615 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 930-8337 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2025, Jul 7, 2021 (2 updates tracked since 2021).

About David Tierney Phd NPPES

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

DAVID TIERNEY PHD (NPI 1962073338) is an individual psychologist in Johnson City, Tennessee, licensed in Tennessee (4155) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1962073338
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDAVID TIERNEYCredential: PHD
Location Address615 N STATE OF FRANKLIN RDJohnson City, TN 37604-8209
Mailing AddressPo Box 699Mountain Home, TN 37684-0699
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 7, 2021
Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
NPI 1962073338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in TN · 4155 Licensed in VA · 0810008866
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.
615 N STATE OF FRANKLIN RD, Johnson City, TN 37604

Secondary Practice Locations 2

Location 1501 Adesa Blvd Ste A150Lenoir City, TN 37771-6719 · Phone (865) 986-8082 · Fax (865) 986-5890
Location 2105 W Park Dr Ste 2AKingsport, TN 37660-3805 · Phone (423) 930-8337

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

David Tierney Phd 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 ID7416453063
PECOS Enrollment IDI20251002000231
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 17

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

Internal Medicine (Infectious Disease)
615 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
615 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
615 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Internal Medicine (Infectious Disease)
615 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
615 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
615 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Internal Medicine (Infectious Disease)
615 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Internal Medicine (Infectious Disease)
615 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

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 David Tierney's NPI number?

The NPI number for David Tierney is 1962073338. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Where is David Tierney located?

David Tierney practices at 615 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 930-8337.

What is David Tierney's specialty?

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

Is David Tierney enrolled in Medicare?

Yes. David Tierney 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 David Tierney accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list David Tierney 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 David Tierney was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.