Individual provider Active NPI

Timothy Duane Huber, PHD

  • Clinical Psychologist
  • Darien, CT
National Provider Identifier
1568538866
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2049 Issued in CT
Practice address
1031 Post Rd
Ste 3
Darien, CT 06820-4543
Phone
(203) 915-5409
NPI assigned
Nov 28, 2006
Last updated
Jan 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2049 CT Primary
Clinical Psychologist 103TC0700X 20497 CA

Addresses

Primary practice location

1031 Post Rd
Ste 3
Darien, CT 06820-4543

Mailing address

1031 Post Rd
Ste 3
Darien, CT 06820-4543
Phone (203) 915-5409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080317000365 CT Practitioner - Clinical Psychologist 5799799516 Practice locations: Darien, CT
I20130625000056 NY Practitioner - Clinical Psychologist 5799799516 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1031 Post Rd
Darien, CT 06820-4543
Phone (203) 915-5409

11 Penn PLZ
B100
New York, NY 10001-2006
Phone (917) 873-9977

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2049CTMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1568538866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 POST RD",
            "address_2": "STE 3",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204543",
            "telephone_number": "203-915-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 POST RD",
            "address_2": "STE 3",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204543",
            "telephone_number": "203-915-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "TIMOTHY",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "2049",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "20497",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

Verify at the official NPI Registry.