Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyd Provider Services

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1215729868

Tyd Provider Services is a Psychiatric/Mental Health Nurse Practitioner in Los Angeles, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

355 S Grand Ste 2450
Los Angeles, CA 90071-1560
Phone: (657) 200-9124
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1215729868
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominique Dunn — Owner · (614) 648-4680
NPI enumeratedMay 20, 2025
Last updated in NPPESMay 20, 2025
Certification dateMay 9, 2025
Mailing address355 S Grand Ave Ste 2450, Los Angeles, CA 90071-9500

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