Active NPI
Timothy Lee Baggs, PSYD
- Psychologist
- London, KY
National Provider Identifier
1093993180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- KY1375
- Practice address
- 706 East Fourth St
London, KY 40741 - Phone
- (606) 862-1124
- Fax
- (606) 862-1125
- NPI assigned
- Jan 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | KY1375 | KY | Primary |
Addresses
Primary practice location
706 East Fourth St
London, KY 40741
Mailing address
706 East Fourth St
London, KY 40741
Phone (606) 862-1124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY1375 | KY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1093993180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 EAST FOURTH ST",
"city": "LONDON",
"state": "KY",
"postal_code": "40741",
"telephone_number": "606-862-1124",
"fax_number": "606-862-1125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 EAST FOURTH ST",
"city": "LONDON",
"state": "KY",
"postal_code": "40741",
"telephone_number": "606-862-1124",
"fax_number": "606-862-1125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGGS",
"first_name": "TIMOTHY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-31",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KY",
"license": "KY1375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.