Timothy Hall

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT5429 Issued in CA

Practice address

120 Estaban Dr
Camarillo, CA 93010-1611

Phone

(805) 482-1983

Fax

(805) 482-1983

NPI assigned

Jul 12, 2015

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

Other names 1

• Timothy Hall Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1436659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436659200000",
    "number": "1639553407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ESTABAN DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101611",
            "telephone_number": "805-482-1983",
            "fax_number": "805-482-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ESTABAN DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101611",
            "telephone_number": "805-482-1983",
            "fax_number": "805-482-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-12",
        "last_updated": "2015-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT5429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "HALL",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Renee Hague
• F. Joseph Halcomb III, M.D.
• Suzette K Hale, PT
• Carolyn Hall, M.A.
• Hopi Hall
• Yvonne Clare Hall
• Helga Jasna Haller, DBH, QBA, CDP
• Craig Halpern, LCSW
• Maxwell Hambrick
• Samantha Hamil

• Marriage & Family Therapist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.