Active NPI
Timothy A Sisemore, PH.D.
- Clinical Psychologist
- Chattanooga, TN
National Provider Identifier
1821074832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P-1091
- Practice address
- 6400 Lee Hwy
Ste 106
Chattanooga, TN 37421-2452 - Phone
- (423) 756-2894
- Fax
- (423) 756-2899
- NPI assigned
- Dec 21, 2005
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P-1091 | TN | Primary |
Addresses
Primary practice location
6400 Lee Hwy
Ste 106
Chattanooga, TN 37421-2452
Mailing address
6400 Lee Hwy
Ste 106
Chattanooga, TN 37421-2452
Phone (423) 756-2894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2025 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P-1091 | TN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Baptist University | Current | Accepting new patients | |
| California Baptist University | Current | Accepting new patients | |
| Richmont Graduate University | Past | Accepting new patients | |
| Summit Counseling Center | Past | Accepting new patients | |
| Senior Psych Solutions Corp | Clinical | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Student Health Clinic/Center
- Riverside, CA
- NPI 1184909947
-
- Community Health Clinic/Center
- Riverside, CA
- NPI 1053134221
-
dba Henegar Counseling Center
- Mental Health Counselor
- Chattanooga, TN
- NPI 1720137854
-
- Clinical Social Worker
- Atlanta, GA
- NPI 1225078629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1821074832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 LEE HWY",
"address_2": "STE 106",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212452",
"telephone_number": "423-756-2894",
"fax_number": "423-756-2899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 LEE HWY",
"address_2": "STE 106",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212452",
"telephone_number": "423-756-2894",
"fax_number": "423-756-2899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISEMORE",
"first_name": "TIMOTHY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P-1091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
- Amar Singh, MD
- Christy L Sipe, CRNA
- Destiny Lynn Sipe
- Natalie Siracusa
- Siren Safe Nemt LLC
- Kristin Dougie Sisk
- Siskin Hospital for Physical Rehabilitation
- Siskin Hospital for Physical Rehabilitation (Siskin Subacute West)
- Siskin Hospital for Physical Rehabilitation (Siskin Hospital Therapy Services)
- Frank E Sisko, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.