Timothy Jon Richter, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY-60502608 Issued in WA

Practice address

1121 SE Dock St
Oak Harbor, WA 98277-4067

Phone

(360) 682-6499

NPI assigned

Sep 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Bayshore Chiro PC

  dba Bayshore Chiropractic

  • Chiropractor
  • Oak Harbor, WA
  • NPI 1508630740
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1275637316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 SE DOCK ST",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982774067",
            "telephone_number": "360-682-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 SE DOCK ST",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982774067",
            "telephone_number": "360-682-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "TIMOTHY",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY-60502608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Reynolds
• Christina Pauline Rich, LICSW
• Amanda Brooke Richardson
• Lester G, Richardson
• Maxwell Richling, DMD
• Abby Ries
• Todd Carleton Ritter
• Deborah May Rivera, L.M.P.
• Sierra Linn Roach
• Robert S Miller, Licsw, Acsw, PLLC

• Psychologist in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.