TIMOTHY PAUL TINIUS (NPI# 1356452163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356452163 |
| Entity Type | Individual |
| Full Name | TIMOTHY PAUL TINIUS |
| Credential | PHD |
| Practice Address |
225 N Benton Dr Suite 104 Sauk Rapids MN 56379-1575 |
| Practice Telephone | 3206549311 |
| Practice Fax Number | 3206549248 |
| Mailing Telephone | 3206549311 |
| Mailing Fax Number | 3206549248 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | LP 0251 | MN | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
LP 0251 | MN | Behavioral Health & Social Service Providers |
| X | 103TF0200X |
Psychologist Specialization: Forensic |
LP 0251 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA PIN | 61-21170 | 01 |
| MN | BCBS PROVIDER PIN | 075J1TI 075J6TI | 01 |
| Street Address |
225 N BENTON DR SUITE 104 |
| City | SAUK RAPIDS |
| State | MN |
| Zip Code | 56379-1575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851694855 | Tim Tinius Phd Pa | Clinical Neuropsychologist | 225 N Benton Dr, #104, Sauk Rapids, MN 56379-1575 | 2010-12-13 |
| 1831404953 | Spinal Rehab Clinics, Pa | Durable Medical Equipment & Medical Supplies | 225 N Benton Dr, Suite 105, Sauk Rapids, MN 56379-1575 | 2010-08-12 |
| 1306985288 | Joseph Michael Mckiernan | Chiropractor | 225 N Benton Dr, Suite 105, Sauk Rapids, MN 56379-1575 | 2007-02-06 |
| 1982743662 | Daniel T Carlson | Chiropractor | 225 N Benton Dr, Suite 105, Sauk Rapids, MN 56379-1575 | 2007-02-06 |
| 1518006428 | Charles L Thompson | Chiropractor | 225 N Benton Dr, Suite 105, Sauk Rapids, MN 56379-1575 | 2007-02-06 |
| 1982743688 | Stacey M Gorman | Physical Therapist | 225 N Benton Dr, Suite 110, Sauk Rapids, MN 56379-1575 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366902116 | Tamara Jean Christopherson | Massage Therapist | 1000 South Benton Drive Suite 415, Sauk Rapids, MN 56379 | 2019-03-20 |
| 1144718594 | Jeanne Twohy Sopcinski | Registered Nurse | Independent Lifestyles, 215 North Benton Dr, Sauk Rapids, MN 56379 | 2018-05-01 |
| 1447748728 | Mamusu Lamin | Social Worker | Independent Life Styles, Inc, 215 N. Benton Drive, Sauk Rapids, MN 56379 | 2018-04-23 |
| 1518486570 | Mw Sauk Rapids Operating, LLC | Assisted Living Facility | 1325 Summit Avenue North, Sauk Rapids, MN 56379 | 2017-09-11 |
| 1942724505 | Ashley Ann Borth | Registered Nurse | 215 N Benton Drive, Independent Lifestyles, Inc, Sauk Rapids, MN 56379 | 2017-07-26 |
| 1568905115 | April May Richardson | Registered Nurse | 215 North Benton Drive, Independent Lifestyles, Inc, Sauk Rapids, MN 56379 | 2016-11-30 |
| 1841616877 | St. Cloud Hospital | Substance Abuse Rehabilitation Facility | 1495 10th Ave Ne, Sauk Rapids, MN 56379 | 2014-03-14 |
| 1811264575 | Pamela Berglund | Physical Therapist | 115 18th St Sw 209, Sauk Rapids, MN 56379 | 2011-11-23 |
| 1407141419 | Becky Ann Canon | Registered Nurse | 215 North Benton Dr, Independent Lifestyles Inc., Sauk Rapids, MN 56379 | 2011-06-17 |
| 1811100860 | Chris Matthew Mcgrew | Dentist | 22 2nd Av S, Sauk Rapids, MN 56379 | 2007-05-07 |
| Find all providers in zip 56379 | ||||
| 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 |
|---|---|---|---|---|
| 1851694855 | Tim Tinius Phd Pa | Clinical Neuropsychologist | 225 N Benton Dr, #104, Sauk Rapids, MN 56379-1575 | 2010-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302228 | Jsr Neuropsychological Services Pllc | Clinical Neuropsychologist | 3209 W 76th St Ste 207, Edina, MN 55435-5246 | 2020-10-09 |
| 1154942258 | Naomi Nystrom | Clinical Neuropsychologist | Psychology-building A, 3301 7th Ave. N, Anoka, MN 55303 | 2020-04-29 |
| 1013557057 | Erik De Water | Clinical Neuropsychologist | 1876 Minnehaha Ave W, Saint Paul, MN 55104-1029 | 2020-01-07 |
| 1609333038 | Minnesota Neuropsychology, LLC | Clinical Neuropsychologist | 370 Selby Ave Ste 312, Saint Paul, MN 55102-1884 | 2019-02-21 |
| 1285118687 | Chimei M Lee | Clinical Neuropsychologist | 717 Delaware St Se Ste 340, Minneapolis, MN 55414-2959 | 2018-09-20 |
| 1861990012 | Susan Mcpherson Phd Abpp Lp LLC | Clinical Neuropsychologist | 6550 York Ave S Ste 419, Edina, MN 55435-2335 | 2018-01-23 |
| 1609399153 | Sheryl Jayne Pleiss | Clinical Neuropsychologist | 6640 Shady Oak Rd Ste 375, Eden Prairie, MN 55344-7834 | 2017-07-17 |
| 1598204869 | Adam Piccolino | Clinical Neuropsychologist | 11800 Singletree Ln Ste 203, Eden Prairie, MN 55344-5397 | 2017-02-19 |
| 1770832875 | Allen Stock | Clinical Neuropsychologist | 3320 Walnut Grove Ln N, Plymouth, MN 55447-1026 | 2012-09-05 |
| 1962750026 | Paul Marshall LLC | Clinical Neuropsychologist | 825 Nicollet Mall Ste 1440, Medical Arts Bldg, Minneapolis, MN 55402-2718 | 2012-08-21 |
| Find all providers with the same taxonomy | ||||
| City | SAUK RAPIDS |
| Zip Code | 56379 |
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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.