Tim R Riley, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

477 Issued in NE

Practice address

4501 S 70TH St
Suite 120
Lincoln, NE 68516-4276

Phone

(402) 483-1936

Fax

(402) 483-7314

NPI assigned

Nov 1, 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 NE

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Neurofeedback LLCGroup PAC ID 7113260225, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Midwest Neurofeedback, LLC

  • Psychologist
  • Lincoln, NE
  • NPI 1760863260
  Medicare reassignment Care Compare group NPD
• Behavioral Pediatric & Family Therapy Program, LLC

  • Psychologist
  • Lincoln, NE
  • NPI 1336224971
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386721173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 S 70TH ST",
            "address_2": "SUITE 120",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164276",
            "telephone_number": "402-483-1936",
            "fax_number": "402-483-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 S 70TH ST",
            "address_2": "SUITE 120",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164276",
            "telephone_number": "402-483-1936",
            "fax_number": "402-483-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "TIM",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47080115226",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheldon Riggs
• Paula Rigsby
• Nyaril Gatluak Rik
• Bronson David Riley, M.S., C.G.C.
• Calah Mary Riley
• Jeremy E Rima
• Lyle E Rima
• Susan Rima
• Jennifer Rine
• Jill S Rine

• Psychologist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.