Individual provider Active NPI

Timothy J. North, PH.D.

  • Psychologist
  • Louisville, KY
National Provider Identifier
1740442441
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
636 Issued in KY
Practice address
3430 Newburg Rd Ste 210
Louisville, KY 40218
Phone
(502) 454-8800
Fax
(502) 736-0140
NPI assigned
Jun 25, 2008
Last updated
Jul 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 636 KY Primary

Addresses

Primary practice location

3430 Newburg Rd Ste 210
Louisville, KY 40218

Mailing address

3430 Newburg Rd Ste 210
Louisville, KY 40218-2458
Phone (502) 454-8800

Other practice location 1

173 Sears Ave Ste 261
Louisville, KY 40207-5062
Phone (502) 896-1947

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
636KYMDPsychologist
0636KYMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Charles Bensenhaver III LLC CurrentSince Jan 31, 2023 Accepting new patients

Locations

3430 Newburg Rd
Ste 210
Louisville, KY 40218
Phone (502) 225-4900

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, 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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1740442441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 NEWBURG RD STE 210",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182458",
            "telephone_number": "502-454-8800",
            "fax_number": "502-736-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 NEWBURG RD STE 210",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40218",
            "telephone_number": "502-454-8800",
            "fax_number": "502-736-0140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "173 Sears Ave Ste 261",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402075062",
            "country_code": "US",
            "telephone_number": "502-896-1947",
            "fax_number": "502-896-1948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORTH",
        "first_name": "TIMOTHY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.