Dr. Jonathan Michael Ridenour is a Tyler, Texas based psychologist with 13 years of experience in General Psychology. He completed his graduation in 2011. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jonathan Michael Ridenour is 34806 for General Psychology in Texas. His current practice location is 4801 Troup Hwy Ste 502, Tyler. Patients can reach him at 903-630-5788 or can fax him at 903-630-5885. Dr. Jonathan Michael Ridenour is PSYD in General Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1760703003. Dr. Jonathan Michael Ridenour is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, he performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. He can diagnose and treat 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 by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Dr. Jonathan Michael Ridenour speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Jonathan Michael Ridenour
Specialization:
General Psychology
Gender:
Male
Credentials:
PSYD
Experience:
13+ years
Medical School Attended:
Other
Graduation Year:
2011
Accepts Medicare Assignment:
Yes
Practice Address:
4801 Troup Hwy Ste 502, Tyler, Texas, 75703-2357
Phone:
903-630-5788
Fax:
903-630-5885
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9234302985
Enrollment ID:
I20111025000866
NPI Number:
1760703003
NPI Enumeration Date:
22 Jun, 2010
NPI Last Update On:
18 Sep, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jonathan Michael Ridenour are as mentioned below.
License Number
Specialization
State
Status
34806
General Psychology
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jonathan Michael Ridenour such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
34806
Other
TEXAS LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Jonathan Michael Ridenour 4801 Troup Hwy Ste 502, Tyler, Texas
Zip:
75703-2357
Phone Number:
903-630-5788
Fax Number:
903-630-5885
Patients can reach Dr. Jonathan Michael Ridenour at 4801 Troup Hwy Ste 502, Tyler, Texas or can call to book an appointment on 903-630-5788.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.