Active NPI
Timothy M. Harlan, PH.D.
- Marriage & Family Therapist
- Oroville, CA
National Provider Identifier
1770774275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT15324
- Practice address
- 465 Pomona Ave
Oroville, CA 95965-4582 - Phone
- (530) 534-6934
- Fax
- (530) 534-5463
- NPI assigned
- Aug 8, 2007
- Last updated
- Aug 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT15324 | CA | Primary |
Addresses
Primary practice location
465 Pomona Ave
Oroville, CA 95965-4582
Mailing address
465 Pomona Ave
Oroville, CA 95965-4582
Phone (530) 534-6934
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ90432Z | Other | CA | BLUE SHIELD |
| A321737 | Other | NY | VALUE OPTIONS |
| 0001028588 | Other | CA | MANAGED HEALTH NETWORK |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT15324 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy M. Harlan, Ma, MFCC, Inc. | Marriage & Family Therapist | Past | Accepting new patients |
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.
-
dba Butte Counseling Clinic
- Marriage & Family Therapist
- Oroville, CA
- NPI 1689865198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186531200000",
"number": "1770774275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 POMONA AVE",
"city": "OROVILLE",
"state": "CA",
"postal_code": "959654582",
"telephone_number": "530-534-6934",
"fax_number": "530-534-5463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 POMONA AVE",
"city": "OROVILLE",
"state": "CA",
"postal_code": "959654582",
"telephone_number": "530-534-6934",
"fax_number": "530-534-5463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLAN",
"first_name": "TIMOTHY",
"middle_name": "M.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-08",
"last_updated": "2007-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT15324",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ90432Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "A321737",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "0001028588",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oroville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.