DR. TIMOTHY JAMES NEARY (NPI# 1942400429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942400429 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JAMES NEARY |
| Credential | PSY.D |
| Practice Address |
10011 Se Division St Suite 203 Portland OR 97266-1351 |
| Mailing Address |
Po Box 16308 Portland OR 97292-0308 |
| Practice Telephone | 5032552344 |
| Practice Fax Number | 5032552344 |
| Mailing Telephone | 5032552343 |
| Mailing Fax Number | 5032552344 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2014-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
22120 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558704353 | Timothy Brian Neary | Orthopaedic Surgery | 2800 Wellford St Ste 100, Fredericksburg, VA 22401 | 2013-04-10 |
| Street Address |
10011 SE DIVISION ST SUITE 203 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-1351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578678983 | Jerry Wayne Leonard Sr. | Dentist | 10011 Se Division St, 204, Portland, OR 97266-1351 | 2006-08-19 |
| 1811342710 | Kristen S Miller | Psychologist | 10011 Se Division St, #203, Portland, OR 97266-1351 | 2016-04-28 |
| 1760837801 | Maria Mitchell | Counselor | 10011 Se Division St, #305, Portland, OR 97266-1351 | 2016-04-26 |
| 1659725620 | Carson Bortz | Counselor | 10011 Se Division St, #305, Portland, OR 97266-1351 | 2016-04-15 |
| 1659748507 | Heather Anne Tollander | Psychologist | 10011 Se Division St, Suite 203, Portland, OR 97266-1351 | 2015-08-26 |
| 1457727828 | Matthew M Block | Counselor | 10011 Se Division St, Suite 203, Portland, OR 97266-1351 | 2015-08-19 |
| 1720454689 | Tess O'neil Mcshane | Counselor | 10011 Se Division St, Suite #305, Portland, OR 97266-1351 | 2015-08-14 |
| 1699159293 | Elizabeth Kraemer | Case Manager/Care Coordinator | 10011 Se Division St, Portland, OR 97266-1351 | 2015-07-13 |
| 1003294323 | Elizabeth Gordon | Counselor | 10011 Se Division St, Ste 305, Portland, OR 97266-1351 | 2015-05-07 |
| 1356746101 | Mirna Pani | Counselor | 10011 Se Division St, #305, Portland, OR 97266-1351 | 2014-10-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
| Find all providers in zip 97266 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007387 | Lyle Vintinner | Psychologist | 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 | 2020-09-11 |
| 1194341297 | Natalie Dawn Mitchell | Psychologist | 3762 Sw Council Crest Dr, Portland, OR 97239-1595 | 2020-06-24 |
| 1992331607 | Erin A. Mueller | Psychologist | 718 Sw Alder St Ste 200, Portland, OR 97205-3423 | 2020-03-14 |
| 1952940520 | Timothy Allen Cooper | Psychologist | 3331 Sw Hamilton Ct, Portland, OR 97239-1256 | 2019-12-31 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1093373631 | Emily Catherine Stasko | Psychologist | 1950 Nw Raleigh St Apt 201, Portland, OR 97209-1775 | 2019-05-29 |
| 1174094544 | Juniper Psychological Services | Psychologist | 2827 Ne Alberta St, Portland, OR 97211-6350 | 2018-12-11 |
| 1528539335 | Mark G Kiefner Phd LLC | Psychologist | 225 Commercial St Ste 403, Portland, ME 04101-6603 | 2018-12-06 |
| 1467941831 | Shannon Madore | Psychologist | 3710 Sw Us Veterans Hospital Rd # R&d66, Portland, OR 97239-2964 | 2018-05-01 |
| 1033637202 | Kaylin Jones | Psychologist | 1235 Se Division Street, Suite 115, Portland, OR 97202-9720 | 2017-09-07 |
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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.