Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528545357 Individual Practitioner Male Practitioner

Jonathan Alvin Tiedeman , SCHOOL PSYCHOLOGIST

Psychologist - School • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Jonathan Tiedeman, SCHOOL PSYCHOLOGIST is a registered healthcare professional specializing in Psychologist - School in Fort Wayne, IN. Practice services are available at 1200 BARR ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 Barr St

Fort Wayne, IN 468023502

Telephone 2604671145
Associated Practice Facility / Clinic
🏢 Fort Wayne Community Schools Facility NPI 1033080775

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - School in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
28 Specialists

Practicing in Fort Wayne, IN (517 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-01
Psychologist - School Primary Specialty

NUCC Taxonomy Code: 103TS0200X

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Psychologist - School

NUCC Taxonomy Code: 103TS0200X

State License IN 10068586

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Secondary Practice Locations

100 Simoni Ranch Rd

Oakley, CA 945612787

Phone: 9256257070

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Christopher O'connell

Psychologist - School

NPI 1255158036

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 01, 2024

Registered at 1200 BARR ST, FORT WAYNE, IN 468023502 (Tel: 2604671145)

📍
Updated Business Mailing Address October 01, 2024

Registered at 1200 BARR ST, FORT WAYNE, IN 468023502 (Tel: 2604671145)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2024

Psychologist (License #10068586 in IN)

NPI Profile Active July 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2018

Registered at 100 SIMONI RANCH RD, OAKLEY, CA 945612787 (Tel: 9256257070)

📍
Updated Business Mailing Address July 24, 2018

Registered at 91 MERCEDES LN, OAKLEY, CA 945614617 (Tel: 9256250700)

👤
Provider Name / Credentials Updated July 24, 2018

Recorded as JONATHAN TIEDEMAN, SCHOOL PSYCHOLOGIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2018

Psychologist

🟢
Initial NPI Registration & Enumeration July 24, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528545357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2018
Last Update: October 01, 2024
Sole Proprietor: No

Mailing Address

1200 Barr St

Fort Wayne, IN 468023502

Phone: 2604671145

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.