Timothy P, Shea, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY.0004653 Issued in CO

Practice address

1732 Yosemite St
Denver, CO 80220-5404

Phone

(908) 268-1274

NPI assigned

Dec 4, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shea Consulting Group PLLC

  • Clinical Psychologist
  • Denver, CO
  • NPI 1417520768
  NPD Authorized official
• Rehabilitation Psychology, Inc.

  • Rehabilitation Psychologist
  • Dublin, OH
  • NPI 1679502553
  NPD

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1144565094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S BROADWAY STE 200-301",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802091558",
            "telephone_number": "720-579-2226",
            "fax_number": "970-360-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 YOSEMITE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802205404",
            "telephone_number": "908-268-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "TIMOTHY",
        "middle_name": "P,",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-04",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "PSY.0004653",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0004653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shea Consulting Group PLLC
• Ariel Shea, L.C.S.W.
• Elizabeth J Shea
• Kathleen Shea, COUNSELOR
• Leticia Audrey Shea, PHARMD
• Elizabeth Anne Sheaffer, MA, LPC
• Madison Sheahan, RBT
• Carie E Shealy, PHARMD
• Stephen H. Shealy, M.D.
• Lindsey Shearer, LPC

• Clinical Psychologist in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.