Timothy Michael Tisdell (NPI# 1750588406, PAC ID# 7416253612) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1750588406 |
| PAC ID by PECOS | 7416253612 |
| Professional Enrollment ID | I20160315001148 |
| Full Name | Timothy Michael Tisdell |
| Address |
5665 College Ave Suite 220a Oakland CA 94618-1638 |
| Phone Number | 5105955558 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5665 College Ave, Suite 220a, Oakland, CA 94618-1638 | 5105955558 |
| Street Address |
5665 COLLEGE AVE SUITE 220A |
| City | OAKLAND |
| State | CA |
| Zip | 94618-1638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karin K Vandervoort | Psychologist, Clinical | 5665 College Ave, 320b, Oakland, CA 94618-1655 | |
| Steven Baum | Clinical Psychologist | 5665 College Ave, 330a, Oakland, CA 94618-1656 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla E Haimowitz | Clinical Psychologist | 5108 Manila Ave, Oakland, CA 94618-1020 | |
| William J Ruch | Chiropractic | 5212 Claremont Ave, Oakland, CA 94618-1033 | |
| Rachael M Stohrer | Chiropractic | Boyd Chiropractic Inc | 6239 College Ave, Suite 201, Oakland, CA 94618-1384 |
| Paul Bracke | Psychologist, Clinical | 6239 College Ave, Suite 204, Oakland, CA 94618-1384 | |
| Andrea Maria Bronzo | Clinical Psychologist | 5349 College Ave, Oakland, CA 94618-1416 | |
| Larry A Sarver | Optometry | Rockridge Optometry | 5321 College Ave, Oakland, CA 94618-1416 |
| Steven W Flannes | Psychologist, Clinical | 5305 College Ave, Oakland, CA 94618-1416 | |
| Scott K Yokoi | Optometry | Rockridge Optometry | 5321 College Ave, Oakland, CA 94618-1416 |
| Jasmine Sima Junge | Optometry | Rockridge Optometry | 5321 College Ave, Oakland, CA 94618-1416 |
| Cindy Yumi Sakai | Optometry | Rockridge Optometry | 5321 College Ave, Oakland, CA 94618-1416 |
| Find all physicians in zip 94618 | |||
| City | OAKLAND |
| Zip Code | 94618 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | OAKLAND + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Timothy Michael Tisdell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.