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Active NPI 1760703003 Individual Practitioner Male Practitioner

Dr. Jonathan Michael Ridenour , PsyD

Psychologist • Tyler, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Ridenour, PsyD is a certified Psychologist practicing in Tyler, TX. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Ridenour delivers high-quality medical care to the local community at 4801 TROUP HWY STE 502.

Dr. Ridenour accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include administration of psychological or neuropsychological test by technician, psychotherapy, evaluation of neuropsychological test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4801 Troup Hwy Ste 502

Tyler, TX 757032357

Telephone 9036305788
Fax 9036305885
Associated Practice Facility / Clinic
🏢 Jonathan Ridenour, Pa Facility NPI 1699233403

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Tyler, TX

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs -16.3 yrs vs City Avg
City Avg: 31.3 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
15 Specialists

Practicing in Tyler, TX (2266 Statewide)

Telehealth Adoption Rate
13.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
38.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ridenour (15 Years) 15 Yrs
Tyler Specialty Average (31.3 Years) 31.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
96139 Administration of psychological or neuropsychological test by technician, each additional 30 minutes
238 24 $50.00 $32.72
90837 Psychotherapy, 60 minutes
140 18 $200.00 $143.78
96133 Evaluation of neuropsychological test, each additional hour
71 24 $200.00 $93.66
90791 Psychiatric diagnostic evaluation
37 37 $200.00 $165.92
96132 Evaluation of neuropsychological test, first hour
23 23 $250.00 $123.47
96138 Administration of psychological or neuropsychological test by technician, first 30 minutes
23 23 $55.00 $31.79

Medical Specialties & State Licenses

CMS Verified: 2023-09-18
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License TX 34806

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, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Texas License
34806

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 18, 2023

Registered at 4801 TROUP HWY STE 502, TYLER, TX 757032357 (Tel: 9036305788)

📍
Updated Business Mailing Address September 18, 2023

Registered at 4801 TROUP HWY STE 502, TYLER, TX 757032357 (Tel: 9036305788)

NPI Profile Active October 19, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2011

Registered at 2010 SYBIL LN, TYLER, TX 757031823 (Tel: 9035368118)

📍
Updated Business Mailing Address October 19, 2011

Registered at 2010 SYBIL LN, TYLER, TX 757031823 (Tel: 9035368118)

👤
Provider Name / Credentials Updated October 19, 2011

Recorded as JONATHAN RIDENOUR, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2011

Psychologist (License #34806 in TX)

🟢
Initial NPI Registration & Enumeration June 22, 2010

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: 1760703003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2010
Last Update: September 18, 2023
Sole Proprietor: No

Mailing Address

4801 Troup Hwy Ste 502

Tyler, TX 757032357

Phone: 9036305788

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.