Timothy Clynch

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

2304438 Issued in MA

Practice address

27 Mill St Unit D
Quincy, MA 02169-5656

Phone

(508) 230-1752

NPI assigned

Jan 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Luxe Path Behavioral Health & Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Quincy, MA
  • NPI 1316758071
  NPD Authorized official
• Convenientmd LLC

  • Urgent Care Clinic/Center
  • Newburyport, MA
  • NPI 1316428824
  NPD (past)

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1487294559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 THOMAS BURGIN PKWY APT 538",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697658",
            "telephone_number": "860-424-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MILL ST UNIT D",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695656",
            "telephone_number": "508-230-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYNCH",
        "first_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-07",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "2304438",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2304438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amatoritsero Clarke
• Kathleen Monica Cleary, O.D.
• Haley Clifford
• Douglas Clinton
• Hye Jung Clossey, LICSW
• Christopher C Coan, BA
• Guillermo Cobas Echemendia
• Gail P Cocio, LICSW
• Coddington Dental
• Katherine F Coffey, OD

• Psychiatric/Mental Health Clinical Nurse Specialist in Quincy, MA
• Providers in Quincy, MA by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2025; 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.