Timothy Joseph Zeddies, PH, D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

31613 Issued in TX

Practice address

406 W 30TH St
Austin, TX 78705-2804

Phone

(512) 495-9556

Fax

(512) 495-9774

NPI assigned

Dec 27, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Central Austin Psychology Group, PLLCGroup PAC ID 1951639053, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Central Austin Psychology Group, PLLC

  • Psychologist
  • Austin, TX
  • NPI 1356797278

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649335985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W 30TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052804",
            "telephone_number": "512-495-9556",
            "fax_number": "512-495-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W 30TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052804",
            "telephone_number": "512-495-9556",
            "fax_number": "512-495-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEDDIES",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "credential": "PH, D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0018HC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Zea
• Nicolas Zea, M.D.
• Zeal Medical Center, P.L.L.C.
• Taimur Zeb, M.D.
• Andrea Zeddies, PH,D
• Doris Kay Zedlitz, RN MSN ACNP-BC
• Carmen L Zegarra, MD
• Zegema Professional Resource Center (Professional Resource Center)
• Tamra Weber Zehner, LMSW
• Audrey Parker Zeifman, LCSW

• Clinical Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.