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

Last updated

Feb 6, 2025By the provider in NPPES

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

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

• Emporia Psychological Services Inc

  • Psychologist
  • Emporia, KS
  • NPI 1780961425
  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": [],
    "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 (Georgeann Smith)

• Clinical Psychologist in Emporia, KS
• Providers in Emporia, KS by specialty
• 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.