Timothy Sippola, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

00523 Issued in KS

Practice address

1402 Exchange CT
Emporia, KS 66801-5272

Phone

(620) 481-0100

NPI assigned

Sep 29, 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 17

Medicare fee-for-service enrollment

Enrolled in KS

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, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Emporia Psychological Services Inc

  • Psychologist
  • Emporia, KS
  • NPI 1780961425

  KS, Psychologist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1508958992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 EXCHANGE CT",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015272",
            "telephone_number": "620-342-1998",
            "fax_number": "620-342-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 EXCHANGE CT",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015272",
            "telephone_number": "620-481-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1402 Exchange Ct",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668015272",
            "country_code": "US",
            "telephone_number": "620-342-1998",
            "fax_number": "620-342-1998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1402 Exchange Ct",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668015272",
            "country_code": "US",
            "telephone_number": "620-481-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIPPOLA",
        "first_name": "TIMOTHY",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "00523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA 60054",
            "identifier": "48-1212043",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "48-1212043",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS OF KS",
            "identifier": "48-1212043",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00285242",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS OF KS",
            "identifier": "119025",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "48-1212043",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEMS",
            "identifier": "48-1212043",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTURY HEALTH SOLUTIONS",
            "identifier": "48-1212043",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BANKER'S LIFE & CASUALTY",
            "identifier": "48-1212043",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERATED INSURANCE",
            "identifier": "48-1212043",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "48-1212043",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FMH BENEFIT SERVICES",
            "identifier": "48-1212043",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COOPERATIVE BENEFIT ADMIN",
            "identifier": "48-1212043",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "48-1212043",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSURANT HEALTH/FORTIS",
            "identifier": "48-1212043",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTRAL STATES - SE & SW",
            "identifier": "48-1212043",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FISERV HEALTH",
            "identifier": "48-1212043",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hyun Chan Shin
• Joyce Ann Shively
• Joshua Shrader, MD
• Renee Rachelle Sinclair, CRNA MAE
• Shari S Sippola, LPC
• Gina M Slayden
• Clay Ashley Sligh, D.D.S.
• Scott A Smiley, MD
• Sherry Sue Smiley, ARNP
• Smith Agency LLC

• All providers in Emporia, KS
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.