Active NPI
Timothy Joseph Catlow, PSY.D.
- Psychologist
- Corvallis, OR
National Provider Identifier
1790884690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1459
- Practice address
- 4455 NE Highway 20
Corvallis, OR 97330-9695 - Phone
- (541) 750-1101
- Fax
- (541) 750-1115
- NPI assigned
- Sep 21, 2006
- Last updated
- Jul 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1459 | OR | Primary |
Addresses
Primary practice location
4455 NE Highway 20
Corvallis, OR 97330-9695
Mailing address
2631 Moon Mountain Dr
Eugene, OR 97403-3238
Phone (541) 750-1101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181456 | Other | OR | OMAP |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1459 | OR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790884690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2631 MOON MOUNTAIN DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974033238",
"telephone_number": "541-750-1101",
"fax_number": "541-750-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 NE HIGHWAY 20",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973309695",
"telephone_number": "541-750-1101",
"fax_number": "541-750-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATLOW",
"first_name": "TIMOTHY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "1459",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMAP",
"identifier": "181456",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.