Timothy James Proctor, PH.D.

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

32021 Issued in TX

Practice address

11882 Greenville Ave Ste 107
Dallas, TX 75243-3567

Phone

(972) 644-8686

Fax

(972) 644-8688

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Price Proctor & Associates LLP

  • Forensic Psychologist
  • Dallas, TX
  • NPI 1922348838
  NPD (past)
• Price Proctor & Associates PLLC

  • Clinical Neuropsychologist
  • Dallas, TX
  • NPI 1053059618

  Forensic

  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1720101850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11882 GREENVILLE AVE STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433567",
            "telephone_number": "972-644-8686",
            "fax_number": "972-644-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11882 GREENVILLE AVE STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433567",
            "telephone_number": "972-644-8686",
            "fax_number": "972-644-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "TX",
            "license": "32021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara Proctor, M.S., L.P.C.
• Marsha Proctor, PHARMD
• McKenzie Proctor, RBT
• Quinn Proctor
• Tianna Proctor
• Productive Rehabilitation Institute of Dallas for Ergonomics
• Ingrid F Proenca-Afonso, D.D.S.
• Professional Care Facility
• Professional Diagnostic Affiliates
• Professional Nutrition Therapists, LLC

• Forensic Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Forensic Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.