Timothy Brian Eagan, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY8785 Issued in FL

Practice address

8461 Lake Worth Rd Ste 461
Lake Worth, FL 33467-2474

Phone

(561) 223-4111

NPI assigned

Jul 29, 2013

Sex

Male

Sole proprietor

Yes

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 FL

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCR Health IncGroup PAC ID 7214847995, 132 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000
  Medicare reassignment Care Compare group NPD
• Ace Behavioral Health LLC

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1841094885

  Psychologist

  Medicare reassignment NPD
• Citrus County Rural Health Inc

  • Federally Qualified Health Center (FQHC)
  • Crystal River, FL
  • NPI 1740931831
  Medicare reassignment NPD
• Mindworks Integrative Psychology, LLC

  • Clinical Psychologist
  • Lake Worth, FL
  • NPI 1528683364
  NPD Authorized official
• MCR Health, Inc.

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745
  NPD

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1619319944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7477 VIA LURIA",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675225",
            "telephone_number": "630-212-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8461 LAKE WORTH RD STE 461",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672474",
            "telephone_number": "561-223-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGAN",
        "first_name": "TIMOTHY",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-29",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven A Dutcher, DO PHD
• Marie D Dutreil
• Philip K Dvorak II, L.M.H.C
• Jane F Dye, LMFT
• Shealagh Marie Eagan, DPT
• Easy Reach Chiropractic LLC
• Ebanks Residential Services, LLC
• Mythsouca Ebanks
• Robert L Ebelhardt, LMT
• Edelstein Pediatrics

• Psychologist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.