Individual provider Active NPI

Timothy Allen Lomauro, PH.D.

  • Clinical Psychologist
  • Allentown, PA
National Provider Identifier
1548308455
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-009196-L Issued in PA
Practice address
850 S 5TH St
Good Shepherd Rehabilitation Hospital
Allentown, PA 18103-3308
Phone
(610) 776-3512
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS-009196-L PA Primary

Addresses

Primary practice location

850 S 5TH St
Good Shepherd Rehabilitation Hospital
Allentown, PA 18103-3308

Mailing address

850 S 5TH St
Allentown, PA 18103-3308
Phone (610) 776-3512

Other identifiers 1

IdentifierTypeStateIssuer
1568536480OtherPAGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20161213000222 PA Practitioner - Clinical Psychologist 3476725193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woodling CorporationGroup PAC ID 2466756283, 19 clinicians

Practice addresses (Care Compare)

2005 City Line Rd
Suite 300
Bethlehem, PA 18017-7701
Phone (610) 865-8177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS-009196-LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodling Corporation Clinical CurrentSince Mar 24, 2025 Accepting new patients
Quaker State Medical Services Co Inc PastSince Mar 24, 2025 Accepting new patients

Locations

2005 City Line Rd
Ste 300
Bethlehem, PA 18017
Phone (610) 865-8177

Interoperability endpoints

  • Direct secure messaging: timothy.lomauro.1@11391.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1548308455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S 5TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033308",
            "telephone_number": "610-776-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S 5TH ST",
            "address_2": "GOOD SHEPHERD REHABILITATION HOSPITAL",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033308",
            "telephone_number": "610-776-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMAURO",
        "first_name": "TIMOTHY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-009196-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1568536480",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.