Timothy J Bullock MD Integrative Psychiatry PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

TIMOTHY J BULLOCK MD INTEGRATIVE PSYCHIATRY PC

Doing business as

Tranquil Tides Psychiatry

Practice address

5620 William Penn Hwy
Export, PA 15632-9035

Phone

(724) 216-2975

NPI assigned

Oct 13, 2026

Last updated

Oct 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christin Bell, PA

Title

Owner

Phone

(724) 216-2975

Specialties & licenses 1

Addresses

Other names 1

• Tranquil Tides Psychiatry Doing business as

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1679478168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 WILLIAM PENN HWY",
            "city": "EXPORT",
            "state": "PA",
            "postal_code": "156329035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 WILLIAM PENN HWY",
            "city": "EXPORT",
            "state": "PA",
            "postal_code": "156329035",
            "telephone_number": "724-216-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J BULLOCK MD INTEGRATIVE PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "CHRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-216-2975",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tranquil Tides Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatry Physician in Export, PA
• Providers in Export, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.