Individual provider Active NPI

Timothy Andrew Scheuber, PSY.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1083017396
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
26681 Issued in CA
Practice address
3111 Camino del Rio N Ste 400
San Diego, CA 92108-5724
Phone
(619) 528-2233
NPI assigned
Sep 30, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 26681 CA Primary

Addresses

Primary practice location

3111 Camino del Rio N Ste 400
San Diego, CA 92108-5724

Mailing address

3111 Camino del Rio N Ste 400
San Diego, CA 92108-5724

Other practice location 1

1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone (844) 308-5003

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220329000744 CA Practitioner - Clinical Psychologist 8325434418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista Community ClinicGroup PAC ID 0042120156, shared by 5 NPIs, 44 clinicians

Practice addresses (Care Compare)

1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone (760) 631-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26681CAMDOccupational Health Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare CurrentSince Feb 1, 2022 Accepting new patients
Neighborhood Healthcare CurrentSince Feb 1, 2022 Accepting new patients

Locations

855 E Madison Ave
El Cajon, CA 92020
Phone (619) 440-2751

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: thimothy.scheuberpsyd.p1@direct.vistacommunityclinic.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1083017396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 CAMINO DEL RIO N STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 CAMINO DEL RIO N STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085724",
            "telephone_number": "619-528-2233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Vale Terrace Dr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920845218",
            "country_code": "US",
            "telephone_number": "844-308-5003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHEUBER",
        "first_name": "TIMOTHY",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-30",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "26681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.