IndividualActive
Tyler Goodman
NPI 1124884242 · Peer Specialist · Ponca City, OK
Tyler Goodman is a Peer Specialist provider in Ponca City, OK (NPI 1124884242).
Provider details
- NPI number
- 1124884242
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
93 Noel Ln
Ponca City, OK 74604-5443
Phone: (580) 485-5796
Street-level locationGet directions
Mailing address
Grand Mental Health 407 S Ave
Ponca City, OK 74604-5443
Additional practice locations (1)
- 93 Noel LnPonca City, OK 74604-5443Phone: (580) 485-5796
Registry dates
- Enumerated
- 2024-02-26
- Last updated
- 2024-03-20
- Certified
- 2024-03-20
Frequently asked questions
- What is Tyler Goodman's NPI number?
- Tyler Goodman's National Provider Identifier (NPI) is 1124884242, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Goodman's specialty?
- Tyler Goodman is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Tyler Goodman located?
- Tyler Goodman's practice location on file with NPPES is 93 Noel Ln, Ponca City, OK 74604-5443.
- What is Tyler Goodman's phone number?
- The practice phone number listed in the NPPES registry for Tyler Goodman is (580) 485-5796.
- Is Tyler Goodman's NPI active?
- Yes — Tyler Goodman's NPI (1124884242) is active in the NPPES registry as of the last update on 2024-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.