R. TIMOTHY KEARNEY


Address: 635 Main St, Middletown, CT 06457-2718
Phone: 8603476971

R. TIMOTHY KEARNEY (NPI# 1144226390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144226390
Entity Type Individual
Full Name R. TIMOTHY KEARNEY
Credential PHD
Practice Address 635 Main St
Middletown
CT 06457-2718
Practice Telephone 8603476971
Practice Fax Number 8607048034
Mailing Telephone 8603476971
Mailing Fax Number 8606386601
Enumeration Date 2005-06-22
Last Update Date 2008-08-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
001460 CT Behavioral Health & Social Service Providers

Office Location

Street Address 635 MAIN ST
City MIDDLETOWN
State CT
Zip Code 06457-2718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750842555 Shannon Katherine Rouse Marriage & Family Therapist 635 Main St, Middletown, CT 06457-2718 2019-03-26
1316489313 Maria Teresa Machado Dental Hygienist 635 Main St, Middletown, CT 06457-2718 2016-11-08
1528518693 Tara Nicole Tremblay Dental Hygienist 635 Main St, Attn: Credentialing Dpt, Middletown, CT 06457-2718 2016-10-12
1982960431 Mandy Sullivan Counselor 635 Main St, Middletown, CT 06457-2718 2012-04-10
1083980957 Christine Foley Psychologist 635 Main St, Middletown, CT 06457-2718 2012-03-26
1437435419 Sandra Dawn Fomenko Nurse Practitioner 635 Main St, Middletown, CT 06457-2718 2011-10-22
1770814105 Luz Hago Dietitian, Registered 635 Main St, Middletown, CT 06457-2718 2010-01-25
1598092561 Julie B Nash Psychologist 635 Main St, Middletown, CT 06457-2718 2009-11-11
1073761821 Nancy Trouern Trend Registered Nurse 635 Main St, Middletown, CT 06457-2718 2008-09-05
1447413646 Kimberly Fournier Social Worker 635 Main St, Middletown, CT 06457-2718 2008-07-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699391961 Meghan Harrington Behavior Technician 101 Centerpoint Drive #243, Middletown, CT 06457 2020-06-22
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1376100339 Kimberly Tynik Pharmacist 451 Fowler Ave, Middletown, CT 06457 2019-05-24
1184101263 Tabrez Adil Dentist 675 Main St., Middletown, CT 06457 2018-07-23
1326535337 Rehan Khan Non-emergency Medical Transport (VAN) 765 Country Club Rd, Middletown, CT 06457 2018-04-16
1366950206 State of Connecticut Psychiatric Hospital 70 O'brien Drive, Middletown, CT 06457 2018-01-12
1902324536 Cynthia Tine Physical Therapy Assistant 628 Congdon Street, Middletown, CT 06457 2017-09-04
1619494390 Nathan Douglas Roy Specialist/Technologist 431 Briarwood Lane, Middletown, CT 06457 2017-08-24
1598286502 Rachel Hoffman Whelen Registered Nurse 420 Saybrook Road, Suite A, Middletown, CT 06457 2017-06-29
1003358326 Rebecca Rotondo Social Worker 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 2016-11-17
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497231872 Nakia Maureen Hamlett Psychologist 48 Jackson St Apt 2, Middletown, CT 06457-2529 2018-07-18
1366874067 Cynthia Ann Geil Psychologist 169 Main St Fl 1, Middletown, CT 06457 2013-08-05
1043518137 Gail Zuckerbraun Psychologist 124 Court St Lowr Level, Middletown, CT 06457-3333 2011-03-14
1588823124 Vatsala Kucharski Psychologist Corner of Holmes Drive and Silver Street, Middletown, CT 06457 2008-06-09
1659547776 Stephen P Bank Psychologist 267 William Street, Middletown, CT 06457 2008-05-08
1487778247 Self Realization Consulting, Inc. Psychologist 507 Lilac Dr, Middletown, DE 19709-8639 2007-03-19
1881726339 Faith Anne Dohm Psychologist 163 College St, Middletown, CT 06457-3238 2007-03-11
1598820771 Taina Ortiz Psychologist 210 E Main St Ste 106, Middletown, NY 10940-4038 2006-12-27
1992801880 Robert Paul De Carli Psychologist 11 South Main St, Middletown, CT 06457-3656 2006-09-16
1265549315 Ginger Elaine Blume Psychologist 100 Riverview Center, Suite 314, Middletown, CT 06457 2006-08-24
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Competitor

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City MIDDLETOWN
Zip Code 06457

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Dataset Information

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.

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