TIMOTHY BRIAN WALSH (NPI# 1124376702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124376702 |
| Entity Type | Individual |
| Full Name | TIMOTHY BRIAN WALSH |
| Credential | LP |
| Practice Address |
7041 20th Ave Centerville MN 55038-9737 |
| Practice Telephone | 6514073631 |
| Practice Fax Number | 6514073751 |
| Mailing Telephone | 6514073631 |
| Mailing Fax Number | 6514073751 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407290588 | Timothy Ryan Walsh | Anesthesiology | Department of Anesthesiology 3901 Rainbow Blvd Ms 1034, Kansas City, KS 66160-2561 | 2013-04-19 |
| 1104020437 | Timothy Walsh | Physical Therapist | 4825 Sugar Creek Rd, Lima, OH 45807-8529 | 2007-06-12 |
| 1124237508 | Timothy Riley Walsh | Acupuncturist | 605 Edwards Ave, West Dundee, IL 60118-2741 | 2007-05-22 |
| 1720161896 | Timothy Patrick Walsh | Dentist | 6901 W Stanley Avenue, Berwyn, IL 60402 | 2006-10-23 |
| 1730117466 | Timothy Aloysius Walsh | Specialist | 390 Murray Hill Pkwy, East Rutherford, NJ 07073-2109 | 2006-06-29 |
| 1558368274 | Timothy William Walsh | Anesthesiology | 13221 Cedarwood Ave, Clive, IA 50325-8572 | 2005-07-07 |
| 1366902835 | Timothy James Walsh | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2019-03-21 |
| 1134621667 | Timothy Walsh Jr. | Counselor | 1518 Walnut St Ste 303, Philadelphia, PA 19102-3402 | 2018-02-28 |
| 1518402692 | Timothy William Walsh | Physical Therapist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2016-12-28 |
| 1861832669 | Timothy James Walsh | Counselor | 730 Eastern Ave, Malden, MA 02148-5924 | 2013-06-26 |
| Street Address |
7041 20TH AVE |
| City | CENTERVILLE |
| State | MN |
| Zip Code | 55038-9737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457624876 | Karen Michele Mckenzie | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2012-02-15 |
| 1942830443 | Shanna Van Duzer | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2020-01-23 |
| 1326584178 | Kathryn Greenfield | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2017-01-17 |
| 1093250227 | Bridget Mozina | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2016-12-26 |
| 1083062459 | Autumn Terlouw | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2016-05-26 |
| 1043671191 | Marita Glasgow | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2016-03-17 |
| 1033588413 | Erica Reina | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2015-09-16 |
| 1770959827 | Jenna Vissell | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2015-08-12 |
| 1497149678 | Valcia Mcgann | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2015-03-25 |
| 1902202815 | Rachel Peterson | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2014-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861948093 | Shanasi Mason | Counselor | 7041 20th Ave S, Centerville, MN 55038 | 2016-08-28 |
| 1982052601 | Patricia Morgan-john | Counselor | 1784 Steven Lane, Centerville, MN 55038 | 2016-06-03 |
| 1811356306 | Drytech Co. LLC | Contractor | 13483 Fenway Blvd Circle No., Hugo, MN 55038 | 2016-02-12 |
| 1750748422 | Lisa Chong Jou | Counselor | 7041 20th Avenue South, Centerville, MN 55038 | 2016-01-26 |
| 1285997577 | William Michael Beeves | Counselor | 7041 20th Avenue S, Centerville, MN 55038 | 2012-06-21 |
| 1720230089 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 14688 Everton Ave., Suite 101, Hugo, MN 55038 | 2008-10-17 |
| 1881868669 | Prili D Gandhi | Family Medicine | 14688 Everton Ave, He Hugo Clinic, Hugo, MN 55038 | 2008-04-14 |
| 1437276763 | Northeast Eye Care of Hugo | Optometrist | 14643 Mercantile Blvd, Suite 112, Hugo, MN 55038 | 2007-03-23 |
| 1134284631 | Hugo Dental Care Pa | Dentist | 5677 147th St N, Hugo, MN 55038 | 2006-12-26 |
| 1023172657 | Sean Patrick Bates | Dentist | 14755 Victor Hugo Blvd, Suite 103, Hugo, MN 55038 | 2006-12-20 |
| Find all providers in zip 55038 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of 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; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447740972 | Wendie Sue Holland | Psychologist | 389 Annable Point Rd, Centerville, MA 02632-2401 | 2018-05-10 |
| 1922493535 | Kimberly E Anzek | Psychologist | 330 N Main St Ste 104, Centerville, OH 45459-4459 | 2015-03-31 |
| 1215355466 | Yolanda M Crooms | Psychologist | 9086 Payne Farm Ln, Centerville, OH 45458-9677 | 2014-04-04 |
| 1295954295 | Sue A Vanallen | Psychologist | 513 Windsor Park Dr., Centerville, OH 45459 | 2007-04-25 |
| 1376643684 | Larry M Pendley | Psychologist | 537 Windsor Park Dr, Centerville, OH 45459-4112 | 2006-09-25 |
| 1740296524 | Julie A Ganley | Psychologist | 7026 Corporate Way, 100, Centerville, OH 45459-4240 | 2006-07-31 |
| 1184608523 | Stephen Wayne Emerick | Psychologist | 7071 Corporate Way, Centerville, OH 45459-8911 | 2005-11-30 |
| 1750835922 | Michelle Grim | Psychologist | 539 Windsor Park Dr, Centerville, OH 45459-4112 | 2016-08-05 |
| 1437505740 | Kate Elizabeth Rogers | Psychologist | 386 N Main St, Centerville, UT 84014-1819 | 2016-05-05 |
| 1659753937 | Brandon Segura | Psychologist | 190 S Main St, Ste 400, Centerville, UT 84014-2814 | 2015-06-23 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 55038 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.