Individual provider · Type 1 NPI

Tiya Shalyse Johnson, MD

Child & Adolescent Psychiatry Physician · Tyler, TX

NPI number 1154696359 Active

Practice location

11937 US Highway 271
Tyler, TX 75708-3154

Fax (903) 877-8355

Other practice locations

  • 200 E Chestnut St, 2nd Floor, Louisville, KY 40202-1831 · (502) 588-0809
  • 100 Executive Park # 103, Louisville, KY 40207 · (502) 313-6877

Specialties and licenses

TaxonomyCodeLicense
Forensic Psychiatry Physician 2084F0202XME129560 (FL)
Forensic Psychiatry Physician 2084F0202X130324 (OH)
Forensic Psychiatry Physician 2084F0202X48143 (KY)
Psychiatry Physician 2084P0800X130324 (OH)
Psychiatry Physician 2084P0800X48143 (KY)
Psychiatry Physician 2084P0800XME129560 (FL)
Child & Adolescent Psychiatry Physician 2084P0804X130324 (OH)
Child & Adolescent Psychiatry Physician 2084P0804XME129560 (FL)
Child & Adolescent Psychiatry Physician 2084P0804X48143 (KY)
Child & Adolescent Psychiatry Physician Primary 2084P0804XS7462 (TX)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1154696359

Tiya Shalyse Johnson, MD's National Provider Identifier is 1154696359, issued on Mar 20, 2012. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Tyler, TX. The record was last updated on Aug 17, 2020.