Individual provider Active NPI

Timothy P. Kochems, PH.D.

  • Family Psychologist
  • Newton Centre, MA
National Provider Identifier
1255484234
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
Practice address
981 Beacon St
Newton Centre, MA 02459-1722
Phone
(617) 332-5262
NPI assigned
Jan 21, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Clinical Psychologist 103TC0700X PY 3391 PR MA
Family Psychologist 103TF0000X NU Primary
Psychoanalysis Psychologist 103TP0814X NU

Addresses

Primary practice location

981 Beacon St
Newton Centre, MA 02459-1722

Mailing address

981 Beacon St
Newton Centre, MA 02459-1722
Phone (617) 332-5262

Other identifiers 1

IdentifierTypeStateIssuer
W10480OtherMABLUE SHIELD (CURRENT)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 2, 2018 through Feb 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3391MAMDBehavioral Analyst
PY 3391 PRMAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1255484234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 BEACON ST",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024591722",
            "telephone_number": "617-332-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 BEACON ST",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024591722",
            "telephone_number": "617-332-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHEMS",
        "first_name": "TIMOTHY",
        "middle_name": "P.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "PY 3391 PR",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD (CURRENT)",
            "identifier": "W10480",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Centre, MA

Sources for this page

Verify at the official NPI Registry.