Individual provider Active NPI

Timothy Martin Rhoton, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sandwich, IL
National Provider Identifier
1265078364
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209020898 Issued in IL
Practice address
1674 Hilda Dr
Sandwich, IL 60548-9394
Phone
(630) 546-2649
NPI assigned
Nov 23, 2019
Last updated
Mar 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041454078 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209020898 IL Primary

Addresses

Primary practice location

1674 Hilda Dr
Sandwich, IL 60548-9394

Mailing address

1674 Hilda Dr
Sandwich, IL 60548-9394
Phone (630) 546-2649

Other practice location 1

1674 Hilda Dr
Sandwich, IL 60548-9394
Phone (630) 546-2649

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tr.trhoton@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230626003196 IL Practitioner - Nurse Practitioner 9739547571 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041454078ILMDRegistered Nurse
209020898ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Services in Health Psychology, LTD CurrentSince May 1, 2023 Accepting new patients
Three Birds Mental Health Services PLLC Psychiatric/Mental Health PastSince May 1, 2023 Accepting new patients

Locations

2100 Huntington Dr N
Ste C
Algonquin, IL 60102
Phone (224) 509-8255

1625 Bethany Rd
Sycamore, IL 60178
Phone (779) 777-7335

2540 Hauser Ross Dr
Ste 225
Sycamore, IL 60178
Phone (815) 758-8400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1574467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1265078364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 HILDA DR",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605489394",
            "telephone_number": "630-546-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 HILDA DR",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605489394",
            "telephone_number": "630-546-2649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1674 Hilda Dr",
            "address_purpose": "LOCATION",
            "city": "Sandwich",
            "state": "IL",
            "postal_code": "605489394",
            "country_code": "US",
            "telephone_number": "630-546-2649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHOTON",
        "first_name": "TIMOTHY",
        "middle_name": "MARTIN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-23",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041454078",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209020898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tr.trhoton@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1674 Hilda Dr",
            "city": "Sandwich",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605489394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sandwich, IL

Sources for this page

Verify at the official NPI Registry.