Individual provider Active NPI

Timothy W. Welles, ED.D.

  • Counseling Psychologist
  • Morristown, NJ
National Provider Identifier
1730268533
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
01694 Issued in NJ
Practice address
20 Community PL Ste 4
Morristown, NJ 07960-7501
Phone
(973) 993-8885
Fax
(914) 937-6174
NPI assigned
Nov 3, 2006
Last updated
Dec 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 016488 NY
Counseling Psychologist 103TC1900X 01694 NJ Primary
Counseling Psychologist 103TC1900X 002657 CT

Addresses

Primary practice location

20 Community PL Ste 4
Morristown, NJ 07960-7501

Mailing address

112 Betsy Brown Rd
Port Chester, NY 10573-2231
Phone (914) 939-8247

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
002657CTMDCounseling Psychologist
01694NJMDCounseling Psychologist
016488NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Psychological Services PC Past Accepting new patients
Welllife Network Inc. Past Accepting new patients
Welllife Network Inc Past Accepting new patients
Counseling Psychology, PC PastSince Mar 1, 2014 Accepting new patients
Welllife Network Inc., Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1730268533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BETSY BROWN RD",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105732231",
            "telephone_number": "914-939-8247",
            "fax_number": "914-937-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY PL STE 4",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607501",
            "telephone_number": "973-993-8885",
            "fax_number": "914-937-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLES",
        "first_name": "TIMOTHY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "016488",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "01694",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CT",
            "license": "002657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.