Dr. Jonathan Michael Ridenour
PSYD | Psychologist | 15+ years Exp
4801 Troup Hwy Ste 502, Tyler
Texas, 75703-2357
903-630-5788 903-630-5885
Maps & DirectionsDr. Jonathan Michael Ridenour is a Tyler, Texas based psychologist with 15 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: | 15+ 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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.