Timber Zwickilton, Clinical Psychologist Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

TIMBER ZWICKILTON, CLINICAL PSYCHOLOGIST INC

Practice address

11440 W Bernardo CT Ste 256
San Diego, CA 92127-1653

Phone

(858) 242-2779

NPI assigned

Feb 10, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Timber Rae Zwickilton, PSY.D.

Title

Ceo

Phone

(858) 242-2779

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1549756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549756800000",
    "number": "1679038061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11440 W BERNARDO CT STE 256",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271653",
            "telephone_number": "858-242-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 W BERNARDO CT STE 256",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271653",
            "telephone_number": "858-242-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBER ZWICKILTON, CLINICAL PSYCHOLOGIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-10",
        "last_updated": "2019-02-10",
        "status": "A",
        "authorized_official_last_name": "ZWICKILTON",
        "authorized_official_first_name": "TIMBER",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-242-2779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-1",
            "identifier": "1104102581",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tim Gurtch MD, Inc.
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• Christiana Hong Tim, REGISTERED NURSE
• Jeffensen Jay Timacdog
• Samantha Timanus
• Abigail D Timbol, OTR/L
• Jesusa Espiritu Timbol, PT
• Time Express LLC
• Katherine Timm
• David Timmer, MD

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2019; 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.