TIMOTHY P, SHEA (NPI# 1144565094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144565094 |
| Entity Type | Individual |
| Full Name | TIMOTHY P, SHEA |
| Credential | PSY.D. |
| Practice Address |
480 Medical Center Dr 2145 Dodd Hall Columbus OH 43210-1229 |
| Mailing Address |
480 Medical Center Dr Columbus OH 43210-1229 |
| Practice Telephone | 6143663809 |
| Practice Fax Number | 6142937604 |
| Mailing Telephone | 6143663809 |
| Mailing Fax Number | 6142937604 |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2016-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 6963 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548822760 | Timothy Shawn Shea | Specialist/Technologist | 11419 Heath Rd, Chesterland, OH 44026-1603 | 2019-07-08 |
| 1497923650 | Timothy Michael Shea | Counselor | 449 Moreland Ave Ne, Suite 205, Atlanta, GA 30307-1582 | 2008-02-11 |
| 1518457753 | Timothy Shea Jr. | Student in an Organized Health Care Education/Training Program | 55 Fruit St., Warren 6 Co3b, Boston, MA 02114 | 2018-05-14 |
| 1366513707 | Timothy Peter Shea | Podiatrist | 2485 High School Ave, Suite214, Concord, CA 94520-1819 | 2006-11-09 |
| 1033160346 | Timothy John Shea | Family Medicine | 187 Medical Park Dr, Brevard, NC 28712-4189 | 2006-05-12 |
| Street Address |
480 MEDICAL CENTER DR 2145 DODD HALL |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116827 | William S Pease | Physical Medicine & Rehabilitation | 480 Medical Center Dr, Room 1018, Columbus, OH 43210-1245 | 2005-07-07 |
| 1396344560 | Daniel Hurlburt | Psychologist | 480 Medical Center Dr, Columbus, OH 43210-1229 | 2020-10-20 |
| 1750905188 | Alex Eubank | Physical Therapist | 480 Medical Center Dr, Columbus, OH 43210-1229 | 2020-06-01 |
| 1578022125 | Francesco Sammartino | Neurological Surgery | 480 Medical Center Dr, Columbus, OH 43210-1229 | 2019-03-13 |
| 1518499649 | Nina Couette | Student in an Organized Health Care Education/Training Program | 480 Medical Center Dr, Columbus, OH 43210-1229 | 2017-03-29 |
| 1538517370 | Jennifer Elaine Gadawski | Nurse Practitioner | 480 Medical Center Dr, Columbus, OH 43210-1229 | 2016-06-02 |
| 1750737847 | Adam Loechler | Rehabilitation Hospital | 480 Medical Center Dr, Columbus, OH 43210-1229 | 2016-05-09 |
| 1043664899 | Ryan Mathew | Internal Medicine | 480 Medical Center Dr, Columbus, OH 43210 | 2016-04-19 |
| 1902265077 | Aristide Merola | Psychiatry & Neurology | 480 Medical Center Dr, Columbus, OH 43210-1229 | 2016-02-18 |
| 1518385020 | Bryan Coniglio | Internal Medicine | 480 Medical Center Dr, Columbus, OH 43210-1229 | 2014-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669641114 | Estes Neuropsychology, LLC | Clinical Neuropsychologist | 1655 N Gladstone Ave Ste D, Columbus, IN 47201-5380 | 2008-02-28 |
| 1710109269 | James Charles Tanley | Clinical Neuropsychologist | 1500 West Third Avenue, Suite 131, Columbus, OH 43212-2816 | 2007-05-03 |
| 1013130871 | Bradley Wayne Estes | Clinical Neuropsychologist | 2675 Fox Pointe Dr A, Columbus, IN 47203-3391 | 2007-04-10 |
| 1568504967 | Kristie J Nies | Clinical Neuropsychologist | 931 Chatham Ln Ste 201, Columbus, OH 43221-2417 | 2007-02-13 |
| 1164588364 | Flora De Filippo | Clinical Neuropsychologist | 52 Horseshoe Ln N, Columbus, NJ 08022-1056 | 2006-12-29 |
| 1376602151 | A Step Ahead Pediatric Therapy | Clinical Neuropsychologist | 2625 Foxpointe Drive, Columbus, IN 47203-3278 | 2006-12-07 |
| 1952488157 | Gordon Douglas Schneider | Clinical Neuropsychologist | 799 W Mills St Ste C, Columbus, NC 28722-8645 | 2006-11-01 |
| 1396849873 | Scott Jay Stewart | Clinical Neuropsychologist | 1304 15th St., Columbus, GA 31901-2241 | 2006-09-12 |
| 1568470292 | John D. Corrigan | Clinical Neuropsychologist | 480 W. 9th Avenue, Dodd Hall, Columbus, OH 43210 | 2006-08-05 |
| 1124049556 | Roxanne Angela Lewis | Clinical Neuropsychologist | 200 E Campus View Blvd, Suite 200, Columbus, OH 43235-4678 | 2006-07-21 |
| Find all providers in COLUMBUS | ||||
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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.