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Jonathan Ridenour, PSYD

NPI 1760703003 · Psychologist · Tyler, TX

Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1760703003
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Credential: PSYD
Sex: Male
Sole proprietor: No
License: 34806 (TX)

Specialties & taxonomies

PsychologistPrimary103T00000XLicense 34806 (TX)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(78/100 index)

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

Registry tenure28% of score
15 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
1 documented practice location
Medicare service volume (vs. specialty peers)28% of score
532 Medicare services, 2024 (ranked within specialty)

Medicare volume is ranked against active providers in the same specialty. 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.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Administration of Psychological Or Neuropsychological Test By Technician, Each Additional 30 Minutes96139	238	$33
Psychotherapy, 1 Hour90837	140	$144
Evaluation of Neuropsychological Test, Each Additional Hour96133	71	$94
Psychiatric Diagnostic Evaluation90791	37	$166
Evaluation of Neuropsychological Test, First Hour96132	23	$123
Administration of Psychological Or Neuropsychological Test By Technician, First 30 Minutes96138	23	$32

Typical Medicare-allowed amounts for these services range $32–$166 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

Practice location

4801 Troup Hwy Ste 502

Tyler, TX 75703-2357

Phone: (903) 630-5788

Fax: (903) 630-5885

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Mailing address