Timothy C McFadden, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS685 Issued in ME

Practice address

7 Leavitt St
Skowhegan, ME 04976-1805

Phone

(207) 474-7190

Fax

(207) 474-7117

NPI assigned

Mar 2, 2007

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in ME

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1023147550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LEAVITT ST",
            "address_2": "PO BOX 928",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761805",
            "telephone_number": "207-474-7190",
            "fax_number": "207-474-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LEAVITT ST",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761805",
            "telephone_number": "207-474-7190",
            "fax_number": "207-474-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "017237",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "2205772",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda M Mathieu, LCSW
• Samuel McCarthy Oflaherty, M.D.
• Michele M. McCormick, M.D.
• Sarah McDevitt
• Sydney E McDonald
• Carey W McKain, M.D.
• Laurie W McKenney
• Randy W McMullen Jr., M.S
• Julia Meade, RN, BSN
• Nicole L. Meader

• Psychologist in Skowhegan, ME
• Providers in Skowhegan, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.