Individual provider Active NPI

Timothy Gorton

  • Behavior Analyst
  • Topeka, KS
National Provider Identifier
1275950412
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
KIPBS PROVIDER 03-11 Issued in KS
Practice address
3401 SW Harrison St
Topeka, KS 66611-2277
Phone
(785) 233-2566
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X KIPBS PROVIDER 03-11 KS Primary

Addresses

Primary practice location

3401 SW Harrison St
Topeka, KS 66611-2277

Mailing address

3401 SW Harrison St
Topeka, KS 66611-2277
Phone (785) 233-2566

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
KIPBS PROVIDER 03-11KSMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Sheltered Living Inc. Past Accepting new patients
Sheltered Living, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1275950412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 SW HARRISON ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666112277",
            "telephone_number": "785-233-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 SW HARRISON ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666112277",
            "telephone_number": "785-233-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORTON",
        "first_name": "TIMOTHY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KS",
            "license": "KIPBS PROVIDER 03-11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.