Timothy Minarovic, PH.D., BSL

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

BH001699 Issued in PA

Practice address

90 S Commerce Way
Suite 300
Bethlehem, PA 18017-8601

Phone

(610) 691-8401

Fax

(610) 691-0647

NPI assigned

Nov 9, 2015

Sex

Male

Sole proprietor

Yes

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

Bachelor of Science - Law, 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.

• Concern-Professional Services for Children, Youth & Families

  • Adolescent and Children Mental Health Clinic/Center
  • Allentown, PA
  • NPI 1053178764
  NPD (past)

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1366815664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W MAIN ST",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195221323",
            "telephone_number": "610-944-0445",
            "fax_number": "610-944-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S COMMERCE WAY",
            "address_2": "SUITE 300",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178601",
            "telephone_number": "610-691-8401",
            "fax_number": "610-691-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINAROVIC",
        "first_name": "TIMOTHY",
        "credential": "PH.D., BSL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "BH001699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent L Millet, MD
• Harold Millman, PT DPT OCS
• Kevin Justin Mills, M.D.
• Alexandra T Milspaw, PHD, M.ED., LPC
• Hannah Milthorpe, MD
• Nicole Michelle Mincin
• Mind of the Athlete, LLC
• Mindful Lotus Counseling, LLC
• Mindful Psychotherapy LLC
• Tonya Mineo, M.ED

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.