# TYNISHA DIANE KADIRI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1508342817
- **Gender:** F
- **Credential:** PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 102L00000X | Psychoanalyst | R184543 | MD | — |
| 174H00000X | Health Educator | — | MD | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | R184543 | MD | — |
| 207P00000X | Emergency Medicine Physician | R184543 | MD | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | R184543 | MD | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | R184543 | MD | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | R184543 | MD | — |
| 2083T0002X | Medical Toxicology (Preventive Medicine) Physician | R184543 | MD | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | R184543 | MD | — |
| 208D00000X | General Practice Physician | R184543 | MD | — |
| 208M00000X | Hospitalist Physician | R184543 | MD | — |
| 208VP0014X | Interventional Pain Medicine Physician | R184543 | MD | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | R184543 | MD | Yes |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | R184543 | MD | — |

## Other

- **Enumeration date:** 07/19/2018
- **Last updated:** 06/19/2025