Individual provider Active NPI

R. Timothy Connors, PH.D.

  • Psychologist
  • Paxton, MA
National Provider Identifier
1457682122
Registry record updated Aug 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
9098 Issued in MA
Practice address
23 Red Oak St
Paxton, MA 01612-1267
Phone
(508) 864-5218
Fax
(855) 581-8051
NPI assigned
Jan 20, 2010
Last updated
Aug 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 322113 MA
Psychologist 103T00000X 9098 MA Primary

Addresses

Primary practice location

23 Red Oak St
Paxton, MA 01612-1267

Mailing address

PO Box 25
Holden, MA 01520-0025
Phone (508) 831-7745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110324000570 MA Practitioner - Clinical Psychologist 5294918538 Practice locations: Worcester, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23 Fruit St
Worcester, MA 01609-2126
Phone (508) 864-5218

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322113MAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Integrated Mental Health Services, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787443200000",
    "number": "1457682122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015200025",
            "telephone_number": "508-831-7745",
            "fax_number": "855-581-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 RED OAK ST",
            "city": "PAXTON",
            "state": "MA",
            "postal_code": "016121267",
            "telephone_number": "508-864-5218",
            "fax_number": "855-581-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "R.",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-20",
        "last_updated": "2026-08-23",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MA",
            "license": "322113",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "9098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paxton, MA

Sources for this page

Verify at the official NPI Registry.