Individual provider Active NPI

Timothy Kabara, EDS, LMHP, PPSP

  • School Psychologist
  • West Allis, WI
National Provider Identifier
1679678635
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
K160000634152 Issued in WI
Practice address
1455 S 97TH St
West Allis, WI 53214-4133
Phone
(262) 510-4447
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X K160000634152 WI Primary

Addresses

Primary practice location

1455 S 97TH St
West Allis, WI 53214-4133

Mailing address

1455 S 97TH St
West Allis, WI 53214-4133
Phone (262) 510-4447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
K160000634152WIMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maplegrove Treatment Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1679678635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 S 97TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144133",
            "telephone_number": "262-510-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S 97TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144133",
            "telephone_number": "262-510-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABARA",
        "first_name": "TIMOTHY",
        "credential": "EDS, LMHP, PPSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "WI",
            "license": "K160000634152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.