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

Last updated

Feb 25, 2013By the provider in NPPES

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 139 Education, LLC

  dba Neurocore

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

  dba Neurocore

  • 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": [],
    "endpoints": [],
    "other_names": []
}

• Christian Ross, LLMSW
• Jessica L Ross
• Nicole Roubos
• Elizabeth Rowden, ED.S.
• 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.