Individual provider Active NPI

Timothy A Blaney, PSY.D.

  • Clinical Psychologist
  • Buffalo, WY
National Provider Identifier
1407955503
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
328 Issued in WY
Practice address
182 N Main St
Buffalo, WY 82834-1727
Phone
(307) 684-9360
Fax
(307) 684-5187
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 328 WY Primary

Addresses

Primary practice location

182 N Main St
Buffalo, WY 82834-1727

Mailing address

489 N Desmet Ave
Buffalo, WY 82834-1641
Phone (307) 684-9360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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

Enrollment IDStateProvider typePAC IDDetails
I20081002000110 WY Practitioner - Clinical Psychologist 6204904386 Practice locations: Buffalo, WY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

182 N Main St
Buffalo, WY 82834-1727
Phone (307) 684-9360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
328WYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhonda Money, MSW, LLC CurrentSince Oct 16, 2010 Accepting new patients

Locations

182 N Main St
Buffalo, WY 82834
Phone (307) 217-0159

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407955503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 N DESMET AVE",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341641",
            "telephone_number": "307-684-9360",
            "fax_number": "307-684-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 N MAIN ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341727",
            "telephone_number": "307-684-9360",
            "fax_number": "307-684-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANEY",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WY",
            "license": "328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, WY

Sources for this page

Verify at the official NPI Registry.