Tyd Provider Services
NPI 1215729868 · Psychiatric/Mental Health Nurse Practitioner · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyd Provider Services is a Psychiatric/Mental Health Nurse Practitioner organization in Los Angeles, CA (NPI 1215729868).
Provider details
- NPI number
- 1215729868
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Dominique Dunn, Owner(614) 648-4680
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2025-05-20
- Last updated
- 2025-05-20
- Certified
- 2025-05-09
Frequently asked questions
- What is Tyd Provider Services's NPI number?
- Tyd Provider Services's National Provider Identifier (NPI) is 1215729868, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tyd Provider Services?
- Tyd Provider Services is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tyd Provider Services located?
- Tyd Provider Services's practice location on file with NPPES is 355 S Grand, Los Angeles, CA 90071-1560.
- What is Tyd Provider Services's phone number?
- The practice phone number listed in the NPPES registry for Tyd Provider Services is (657) 200-9124.
- Does Tyd Provider Services accept Medicare?
- Tyd Provider Services is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tyd Provider Services?
- The authorized official listed on Tyd Provider Services's NPPES record is Dominique Dunn, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tyd Provider Services's NPI active?
- Yes — Tyd Provider Services's NPI (1215729868) is active in the NPPES registry as of the last update on 2025-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.