Organization Active NPI

Timothy J Michals MD PC

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1407920804
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD009566E Issued in PA
Legal business name
TIMOTHY J MICHALS MD PC
Practice address
125 S 9TH St
Suite 1003
Philadelphia, PA 19107-5125
Phone
(215) 829-0331
Fax
(215) 829-0338
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Timothy John Michals, MD
Title
Owner
Phone
(215) 829-0331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD009566E PA Primary

Addresses

Primary practice location

125 S 9TH St
Suite 1003
Philadelphia, PA 19107-5125

Mailing address

125 S 9TH St
Suite 1003
Philadelphia, PA 19107-5125
Phone (215) 829-0331

National Provider Directory

National Provider Directory

Locations

125 S 9th St
Ste 1003
Philadelphia, PA 19107
Phone (215) 829-0331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407920804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S 9TH ST",
            "address_2": "SUITE 1003",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075125",
            "telephone_number": "215-829-0331",
            "fax_number": "215-829-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S 9TH ST",
            "address_2": "SUITE 1003",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075125",
            "telephone_number": "215-829-0331",
            "fax_number": "215-829-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J MICHALS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICHALS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-829-0331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD009566E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.