TIMOTHY C SHORT (NPI# 1891708335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891708335 |
| Entity Type | Individual |
| Full Name | TIMOTHY C SHORT |
| Credential | PH.D. |
| Practice Address |
1611 S Apollo Blvd Melbourne FL 32901-4407 |
| Practice Telephone | 3217242444 |
| Practice Fax Number | 3219524131 |
| Mailing Telephone | 3217242444 |
| Mailing Fax Number | 3219524131 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2008-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
PY4790 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639783657 | Timothy Brian Short | Social Worker | 7540 New West Rd, Toledo, OH 43617-4200 | 2020-09-08 |
| 1215284344 | Timothy M Short | Nurse Practitioner | 1800 N Capitol Ave, Np E-140, Indianapolis, IN 46202-1218 | 2012-08-08 |
| 1679512933 | Timothy J Short | Podiatrist | 630 N Alvernon Way, #251-c, Tucson, AZ 85711-1843 | 2006-06-05 |
| 1801866835 | Timothy B. Short | Family Medicine | Lee St Fl 3, Charlottesville, VA 22908-0001 | 2006-01-24 |
| Street Address |
1611 S APOLLO BLVD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518351824 | Brevard Psychological Associates, Inc | Psychologist | 1611 S Apollo Blvd, Melbourne, FL 32901-4407 | 2015-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
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| 1124500301 | Emily K. Gray, Mft, Inc. | Psychologist | 3615 Nw 13th St Ste B, Gainesville, FL 32609-2187 | 2018-09-04 |
| 1609363175 | Liv Wellness Center LLC | Psychologist | 4949 S Congress Ave Ste E, Palm Springs, FL 33461-4731 | 2018-04-19 |
| 1871005546 | The Toby Center for Family Transitions, Inc. | Psychologist | 100 E Linton Blvd Ste 104b, Delray Beach, FL 33483-3340 | 2017-11-02 |
| 1942711759 | Ella Raphaelle Dufrene | Psychologist | 3244 West Trade Ave. #1, Miami, FL 33133 | 2017-10-19 |
| Find all providers with the same taxonomy | ||||
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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.