IndividualActive
Tyler Anderson, MD, MHA
NPI 1356633143 · Child & Adolescent Psychiatry Physician · Provo, UT
Provider details
- NPI number
- 1356633143
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MHA
- Sex
- Male
- Sole proprietor
- No
- License
- DR.0059856 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 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
750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
Street-level locationGet directions
Mailing address
501 S Chipeta Way
Salt Lake City, UT 84108-1222
Additional practice locations (3)
- 13001 E 17th PlBldg. 500, Room E2322Aurora, CO 80045-2570Phone: (303) 724-6018
- 1790 N State StOrem, UT 84057-2025Phone: (888) 224-8250
- 501 S Chipeta WaySalt Lake City, UT 84108-1222Phone: (801) 581-7951
Registry dates
- Enumerated
- 2011-05-11
- Last updated
- 2021-06-04
- Certified
- 2021-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.