Active NPI
Timothy Caballero
- Student in an Organized Health Care Education/Training Program
- Dyer, IN
National Provider Identifier
1538051214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 10120 W Wellington CT
Dyer, IN 46311-3367 - Phone
- (708) 224-3919
- NPI assigned
- Jul 17, 2025
- Last updated
- Jul 17, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
10120 W Wellington CT
Dyer, IN 46311-3367
Mailing address
10120 W Wellington CT
Dyer, IN 46311-3367
Phone (708) 224-3919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1538051214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10120 W WELLINGTON CT",
"city": "DYER",
"state": "IN",
"postal_code": "463113367",
"telephone_number": "708-224-3919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10120 W WELLINGTON CT",
"city": "DYER",
"state": "IN",
"postal_code": "463113367",
"telephone_number": "708-224-3919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABALLERO",
"first_name": "TIMOTHY",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-07-17",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dyer, IN
- Erica L Bucholtz, OTR
- Jodi Bult, N.P.
- Tanya D Burk-Willson, RN
- Erin Elizabeth Burrell, PSY.D., HSPP
- C.L.O. Psychological, Serv.
- Cannan Healthcare Services & Staffing Inc
- Cardiospecialists Group, LTD (Midwest Arrhythmia Consultants)
- Bethany Lynn Casson, LMHC, LCPC
- Kelly M Cavanaugh, LMT, CMLDT
- Thomas J Cavanaugh, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.