Tim Tinius PHD PA

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

TIM TINIUS PHD PA

Practice address

225 N Benton Dr
#104
Sauk Rapids, MN 56379-1575

Phone

(320) 654-9311

Fax

(320) 654-9248

NPI assigned

Dec 13, 2010

Last updated

Dec 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Paul Tinius, PHD

Title

Ceo

Phone

(320) 654-9311

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1851694855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N BENTON DR",
            "address_2": "#104",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791575",
            "telephone_number": "320-654-9311",
            "fax_number": "320-654-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N BENTON DR",
            "address_2": "#104",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791575",
            "telephone_number": "320-654-9311",
            "fax_number": "320-654-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM TINIUS PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "TINIUS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-654-9311",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Sauk Rapids, MN
• Providers in Sauk Rapids, MN by specialty
• Clinical Neuropsychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.