P Praxis·MD
● Active Type 2 · Organization

Jonathan Ridenour, PA

Psychologist·Tyler, TX· NPI 1699233403 · Enumerated 2019 · 7 years on NPI
Jonathan Ridenour, PA is 1 of 2632 psychologist organizations in Texas.
NPI age
7 years
Enumerated 2019-03-11
Primary specialty
Psychologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bice
Office Manager
Last NPPES update
2023-09-18
Source: monthly bulk 2026-05

How this organization compares

Across 2632 active psychologist providers in Texas.

NPI age
7 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2019 → 2026

2019-03Enumerated in NPPES
2019 2026

Where they practice

Primary practice location
4801 Troup Hwy Ste 502
Tyler, TX 757032357
📞 9724249212fax 9725091450
Mailing address
4801 Troup Hwy Ste 502
Tyler, TX 757032357
📞 9036305788fax 9036305885

Authorized official

Michelle Bice
Office Manager
📞 9036305788

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Psychologist Primary
    A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
    taxonomy 103T00000X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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