P Praxis·MD
● Active Type 1 · Individual

DR. Jonathan Michael Ridenour, PSYD

Psychologist·Tyler, TX· NPI 1760703003 · Enumerated 2010 · 15 years on NPI
Ridenour is 1 of 20 psychologist providers in Tyler and 1 of 2632 in Texas.
NPI age
15 years
Enumerated 2010-06-22
Primary specialty
Psychologist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2632 active psychologist providers in Texas.

NPI age
15 years
↑ 2 yr above median (13 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-06Enumerated in NPPES
2010 2026

Where they practice

Practice location
4801 Troup Hwy Ste 502
Tyler, TX 757032357
📞 9036305788fax 9036305885
Mailing address
4801 Troup Hwy Ste 502
Tyler, TX 757032357
📞 9036305788fax 9036305885

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,...
    TX license #34806 taxonomy 103T00000X

Identifiers

TypeValueNotes
01 34806 TEXAS LICENSE

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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