Timothy George Caufield, PSCYHOLOGIST
Individual provider Active NPI Clinical Psychologist · Burlington, WI
NPI 1194783647 · NPPES record last updated Oct 1, 2014
Key facts
- NPI
- 1194783647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1329057 (WI)
- Practice address
- 209 N Dodge St
Burlington, WI 53105-1920 - Phone
- (262) 767-8667
- Fax
- (262) 767-8798
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1329057 | WI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tim Caufield, PHD LLC | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1329057 | WI | Yes |
Addresses
Primary practice location
209 N Dodge St
Burlington, WI 53105-1920
Mailing address
209 N Dodge St
Burlington, WI 53105-1920
Phone (262) 767-8667
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39076700 | Medicaid | WI | |
| 1329057 | Other | WI | PSYCHOLOGIST |
Other providers in Burlington, WI
- Cardinal Care Services LLC
- Philip S Carney Jr.
- Madonna Celeste Carr
- Page C Carriveau
- Lynn M Casperson
- Aaditya G Chandramouli
- Darren Robert Chesner
- Tanya Chiapusio
- Mark S Christman
- Hubert John Yu Sam Chua
All providers in Burlington, WI · Clinical Psychologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.