Active NPI
Timothy W. Welles, ED.D.
- Counseling Psychologist
- Morristown, NJ
National Provider Identifier
1730268533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 01694
- 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, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 002657 | CT | MD | Counseling Psychologist |
| 01694 | NJ | MD | Counseling Psychologist |
| 016488 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.
-
- Psychologist
- Morristown, NJ
- NPI 1558493213
-
- Clinical Psychologist
- Yonkers, NY
- NPI 1558323295
-
- Psychologist
- Forest Hills, NY
- NPI 1124063664
-
- Case Management Agency
- Elmont, NY
- NPI 1508012816
-
- Case Management Agency
- Coram, NY
- NPI 1386817906
-
- Clinic/Center
- Huntington, NY
- NPI 1932125721
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.