Active NPI
Timothy J. North, PH.D.
- Psychologist
- Louisville, KY
National Provider Identifier
1740442441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 636
- 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, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 636 | KY | MD | Psychologist |
| 0636 | KY | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Charles Bensenhaver III LLC | Current | 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.
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- Louisville, KY
- NPI 1962108118
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.