Timothea Greer McGinley, PH.D.

Individual provider Active NPI Clinical Psychologist · Represa, CA

NPI 1174768972 · NPPES record last updated Dec 8, 2008

Key facts

NPI
1174768972
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
22326 (CA)
Practice address
100 Prison Road
CSP Sacramento
Represa, CA 95671
Phone
(916) 985-8610
NPI assigned
Dec 8, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
22326CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Corrections and Rehabilitation-Headquarters Past
since Feb 9, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 22326 CA Yes

Addresses

Primary practice location

100 Prison Road
CSP Sacramento
Represa, CA 95671

Mailing address

CSP Sacramento
P.O. Box 290002
Represa, CA 95671-0001
Phone (916) 985-8610

Other providers in Represa, CA

All providers in Represa, CA · Clinical Psychologist in California

Sources for this page

Verify at the official NPI Registry.