Timothy Michael Walsh

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024180507 Issued in VA

Practice address

5309 Commonwealth Centre Pkwy Ste 401
Midlothian, VA 23112-2633

Phone

(804) 465-9311

Fax

(804) 953-9815

NPI assigned

Jun 24, 2021

Last updated

Nov 14, 2025By the provider in NPPES

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 VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pax Mentis PLLCGroup PAC ID 7113408832, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pax Mentis PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Midlothian, VA
  • NPI 1528940012

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Balance Behavioral Health, PLLC

  • Clinical Psychologist
  • Midlothian, VA
  • NPI 1912338914

  Single Specialty

  NPD
• Ephratah Health Group LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Henrico, VA
  • NPI 1740057751

  Single Specialty

  NPD
• Resilience Health, LLC

  • Psychiatry Physician
  • Midlothian, VA
  • NPI 1649770363

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1659940583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 COMMONWEALTH CENTRE PKWY STE 401",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122633",
            "telephone_number": "804-465-9311",
            "fax_number": "804-953-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 COMMONWEALTH CENTRE PKWY STE 401",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122633",
            "telephone_number": "804-465-9311",
            "fax_number": "804-953-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024180507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James C Wallace, DDS
• Laurel Slough Wallace, D.O.
• Rochelle Wallace
• Jennifer B. Walle, PT, DPT
• Richard Edmund Waller, M.D.
• Danesha Walters
• Stephanie Walton
• Tiffany Walton
• Maria Ward
• Mark F. Warner, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.