Timmie Pollock, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY9321 Issued in CA

Practice address

8950 Villa la Jolla Dr
Suite B204
La Jolla, CA 92037-1714

Phone

(858) 452-5700

Fax

(858) 452-2012

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Timmie Pollock, PH.D.

  • Clinical Psychologist
  • La Jolla, CA
  • NPI 1598943938
  NPD (past) Authorized official
• Michael McGinty Psychological Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • La Jolla, CA
  • NPI 1609367598
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1003974361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE B204",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371705",
            "telephone_number": "858-452-5700",
            "fax_number": "858-452-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR",
            "address_2": "SUITE B204",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371714",
            "telephone_number": "858-452-5700",
            "fax_number": "858-452-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "TIMMIE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY9321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "330514125",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M Poizner, PSY.D.
• Avery Pojda Morrison
• Daniel Pollack, RN, CNS
• Travis Pollema, D.O.
• Justin Edward Pollock, M.D.
• Rachael Polokoff, PHD, LP
• Gregory R Polston, MD
• Allyson Ponsford, OTR/L
• Jessica Poon
• Alex Jonathan Portillo

• Clinical Psychologist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.