TIMOTHY ANDERSON (NPI# 1649700550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649700550 |
| Entity Type | Individual |
| Full Name | TIMOTHY ANDERSON |
| Credential | PH.D. |
| Practice Address |
1 Ohio University Psychology and Social Work Clinic Room 002 Athens, Oh 45701-2942 United States Athens OH 45701-2942 |
| Practice Telephone | (740) 593-0902 |
| Practice Fax Number | 7405934790 |
| Mailing Telephone | 7405930902 |
| Mailing Fax Number | 7405934790 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
5117 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CLINICAL PSYCHOLOGIST | 103TC0700X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215371141 | Timothy Anderson | Emergency Medicine | 94 Selby Ln, Atherton, CA 94027-3953 | 2013-04-22 |
| 1790973956 | Timothy D Anderson | Optometrist | 3127 Royal Hanna Dr Ne, Rockford, MI 49341-7525 | 2007-10-11 |
| 1023160595 | Timothy Leroy Anderson | Counselor | 5528 Woodland Hills Rd., Denton, TX 76208 | 2007-01-17 |
| 1780741959 | Timothy Philip Anderson | Optometrist | 3450 Asheville Hwy, Hendersonville, NC 28791-0701 | 2007-01-03 |
| 1598790735 | Timothy W. Anderson | Internal Medicine | 1200 Binz St Ste 630, Houston, TX 77004-6944 | 2006-07-12 |
| 1659323962 | Timothy Sean Anderson | Pharmacist | 3208 Sw 103rd Pl, Oklahoma City, OK 73159-6028 | 2006-05-16 |
| 1063496222 | Timothy Anderson | Physician Assistant | 954 Lake Baldwin Ln, Orlando, FL 32814-6651 | 2005-12-01 |
| 1568458446 | Timothy W Anderson | Internal Medicine | 625 Africa Rd Ste 320, Westerville, OH 43082 | 2005-09-26 |
| 1407856834 | Timothy Warren Anderson | Dentist | 523 Remington St, Fort Collins, CO 80524-3022 | 2005-07-28 |
| 1861490393 | Timothy Wallace Anderson | Chiropractor | 885 Western Ave, Suite #450, Fond Du Lac, WI 54935-3874 | 2005-07-08 |
| Street Address |
1 OHIO UNIVERSITY PSYCHOLOGY AND SOCIAL WORK CLINIC ROOM 002 ATHENS, OH 45701-2942 UNITED STATES |
| City | ATHENS |
| State | OH |
| Zip Code | 45701-2942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| Find all providers in zip 45701 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971679 | Classic City Counseling & Consultation LLC | Psychologist | 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 | 2019-09-17 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1528580677 | Julie Sarno Owens | Psychologist | 1 Ohio University Dept Of, Athens, OH 45701-2942 | 2017-07-11 |
| 1003346578 | Brian T. Wymbs | Psychologist | 1 Ohio University Dept of Psychology, Porter Hall Room 002, Athens, OH 45701-2942 | 2017-06-15 |
| 1790213213 | Julie Suhr | Psychologist | 250 Porter Hall Dept Of, Athens, OH 45701-1368 | 2017-05-29 |
| 1407384126 | Ryan Christopher Shorey | Psychologist | 1 Ohio University Dept of Psychology, Porter Hall Room, Athens, OH 45701-2942 | 2017-05-25 |
| 1487904454 | Footprints Psychological Services LLC | Psychologist | 1090 Founders Blvd., Ste B, Athens, GA 30606 | 2012-09-17 |
| 1760614119 | Pcap Inc | Psychologist | 215 Hawthorne Park Ste A, Athens, GA 30606-2164 | 2009-08-19 |
| 1295999050 | Nan W Cooley | Psychologist | 2085 S Milledge Ave, Suite 1, Athens, GA 30605-1655 | 2008-07-10 |
| 1891979803 | Psychology Clinic | Psychologist | 139 Psychology Bldg., The University of Georgia, Athens, GA 30602 | 2007-12-27 |
| Find all providers in ATHENS | ||||
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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.