Timothy Grayson Royer, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

6301009353 Issued in MI

Practice address

3790 30TH St SW
Grandville, MI 49418-1602

Phone

(800) 600-4096

Fax

(800) 606-8839

NPI assigned

Feb 25, 2013

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• 139 Education, LLC

  • Psychologist
  • Grand Rapids, MI
  • NPI 1114290517
  NPD (past) Authorized official
• 139 Education, LLC.

  • Psychologist
  • Grandville, MI
  • NPI 1013294628
  NPD (past) Authorized official

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1326388554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494680607",
            "telephone_number": "800-600-4096",
            "fax_number": "800-606-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 30TH ST SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181602",
            "telephone_number": "800-600-4096",
            "fax_number": "800-606-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYER",
        "first_name": "TIMOTHY",
        "middle_name": "GRAYSON",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301009353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPANY/GROUP NPI #",
            "identifier": "1013294628",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "0D14689",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joy Marie Rose, BEHAVIOR TECHNICIAN
• Rosner Investments, PLLC
• Jessica L Ross
• Nicole Roubos
• Megan Barbara Royce
• Joanne Rozema, FNP
• Steven James Runner, TLLP
• RX Optical Laboratories, Inc.
• Sage Creek Counseling LLC
• Byron Otoniel Salguero, MA

• Clinical Neuropsychologist in Grandville, MI
• Providers in Grandville, MI by specialty
• Clinical Neuropsychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.