Individual provider Active NPI

Timothy Jason Bullock, MD, MPH

  • Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1710367248
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD472094 Issued in PA
Practice address
810 Clairton Blvd Ste 500600
Pittsburgh, PA 15236-5505
Phone
(412) 650-1100
Fax
(412) 650-1101
NPI assigned
May 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD472094 PA Primary

Addresses

Primary practice location

810 Clairton Blvd Ste 500600
Pittsburgh, PA 15236-5505

Mailing address

810 Clairton Blvd Ste 500600
Pittsburgh, PA 15236-5505
Phone (412) 650-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201222001069 PA Practitioner - Psychiatry 2860804515 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical School at Houston, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Directions Mental Health, PCGroup PAC ID 0345228318, 153 clinicians

Practice addresses (Care Compare)

110 Hidden Valley Rd
MC Murray, PA 15317-2685
Phone (724) 374-3468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Regional Medical Center Psychiatry CurrentSince Jan 1, 2021 Accepting new patients
Jefferson Regional Medical Center CurrentSince Jan 1, 2021 Accepting new patients
Monongahela Valley Hospital, Inc. CurrentSince Dec 9, 2022 Accepting new patients
Jefferson Regional Medical Center Psychiatry CurrentSince Dec 22, 2020 Accepting new patients
Monongahela Valley Hospital Inc Current Accepting new patients
New Directions Mental Health, PC Psychiatry CurrentSince Aug 27, 2023 Accepting new patients
Intercare Health Systems, LTD, Dba Intercare Psychiatric Services Psychiatry Past Accepting new patients

Locations

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

420 Pellis Rd
Ste 1
Greensburg, PA 15601

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

110 Hidden Valley Rd
McMurray, PA 15317
Phone (724) 941-4040

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

4055 Monroeville Blvd
Ste 300
Monroeville, PA 15146
Phone (412) 414-9916

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

810 Clairton Blvd
Ste 500
Pittsburgh, PA 15236
Phone (412) 592-1470

810 Clairton Blvd
Ste 500600
Pittsburgh, PA 15236
Phone (412) 650-1100

810 Clairton Blvd
Pleasant Hills, PA 15236
Phone (412) 466-5004

Interoperability endpoints

  • Direct secure messaging: timothy.bullock@direct.myhealthep.org

Organizations & group practices 7

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": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1710367248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 CLAIRTON BLVD STE 500600",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152365505",
            "telephone_number": "412-650-1100",
            "fax_number": "412-650-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 CLAIRTON BLVD STE 500600",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152365505",
            "telephone_number": "412-650-1100",
            "fax_number": "412-650-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "TIMOTHY",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-29",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD472094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.