Edward H Tiller, PHD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

081000742 Issued in VA

Practice address

217 McLaws Cir
Suite 2
Williamsburg, VA 23185-5855

Phone

(757) 253-0371

Fax

(757) 253-8063

NPI assigned

Mar 28, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Edward H Tiller PHD PCGroup PAC ID 8426016684, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Edward H Tiller PHD PC

  • Psychologist
  • Williamsburg, VA
  • NPI 1639252919
  Medicare reassignment Care Compare group NPD Authorized official
• Thimble Shoals Counseling & Therapy Center PC

  • Clinical Social Worker
  • Newport News, VA
  • NPI 1033138227
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1306806799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MCLAWS CIR",
            "address_2": "SUITE 2",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855855",
            "telephone_number": "757-253-0371",
            "fax_number": "757-253-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MCLAWS CIR",
            "address_2": "SUITE 2",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855855",
            "telephone_number": "757-253-0371",
            "fax_number": "757-253-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLER",
        "first_name": "EDWARD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "081000742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007753373",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.