Timothy Scott Thornberry Jr., PHD
Individual provider Active NPI Clinical Psychologist · Frankfort, KY
NPI 1376253229 · NPPES record last updated Jun 29, 2026
Key facts
- NPI
- 1376253229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 161575 (KY)
- Practice address
- 649 Chamberlin Ave
Frankfort, KY 40601-4288 - Phone
- (216) 468-5000
- Fax
- (216) 456-8128
- NPI assigned
- Dec 1, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Psychological and Behavioral Consultants LLC
Practice addresses (Care Compare)
649 Chamberlin Ave
Frankfort, KY 40601-4220
Phone (859) 296-3141
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230630000660 | KY | Practitioner - Clinical Psychologist | 5092174565 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Behavioral Consultants, LLC | Clinical | Current |
Accepting new patients |
| Chestnut Park Professionals, LLC | Psychologist | Current |
Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
1215 High St
Bowling Green, KY 42101
Phone (270) 782-1116
649 Chamberlin Ave
Frankfort, KY 40601
Phone (502) 875-1685
100 Executive Park
Ste 103
Louisville, KY 40207
Phone (502) 313-6880
25101 Chagrin Blvd
Ste 100
Beachwood, OH 44122
Phone (216) 245-4468
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 161575 | KY | Yes |
Addresses
Primary practice location
649 Chamberlin Ave
Frankfort, KY 40601-4288
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (216) 468-5000
Other providers in Frankfort, KY
- John Dakota Thacker
- Rachael White Thatcher
- The Kentucky Wellness Collective
- The Light Clinic, Inc.
- Cheryl D Thomas
- Thoroughbred Cardiology, LLC
- Kate M Tilton
- Elyse Timmons
- TLN Professional Services PLLC
- Total Renal Care, Inc.
All providers in Frankfort, KY · Clinical Psychologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.