What is Pharoah Tynes's NPI number?

Pharoah Tynes's National Provider Identifier (NPI) is 1053723312, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Pharoah Tynes's specialty?

Pharoah Tynes is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Pharoah Tynes located?

Pharoah Tynes's practice location on file with NPPES is 306 E Main St, Stockton, CA 95202-2908.

What is Pharoah Tynes's phone number?

The practice phone number listed in the NPPES registry for Pharoah Tynes is (209) 478-4554.

Is Pharoah Tynes's NPI active?

Yes — Pharoah Tynes's NPI (1053723312) is active in the NPPES registry as of the last update on 2021-10-04.

IndividualActive

Pharoah Tynes

NPI 1053723312 · Mental Health Counselor · Stockton, CA

Pharoah Tynes is a Mental Health Counselor provider in Stockton, CA (NPI 1053723312).

Provider details

NPI number: 1053723312
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Established profile(69/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

306 E Main St

Stockton, CA 95202-2908

Phone: (209) 478-4554

Street-level locationGet directions

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Mailing address