Timothy Hynick, PSYD
Individual provider Active NPI Psychologist · North Reading, MA
NPI 1871671982 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1871671982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 7397 (MA)
- Practice address
- 324 Main St
North Reading, MA 01864-1329 - Phone
- (978) 664-2566
- Fax
- (978) 664-8023
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7397 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychotherapy Associates of North Reading | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7397 | MA | Yes |
Addresses
Primary practice location
324 Main St
North Reading, MA 01864-1329
Mailing address
204 Mill St
Haverhill, MA 01830-4153
Phone (978) 372-5445
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043114833-11 | Other | MA | PACIFICARE BEHAVIORAL HEA |
| 467317 | Other | MA | TUFTS HEALTH PLAN |
| 467317 | Other | MA | TUFTS BENEFIT ADMINISTR |
| 467317 | Other | MA | TUFTS LIBERTY |
| W06245 | Other | MA | BCBS OF MA |
Other providers in North Reading, MA
- Richard Thomas Higgins
- Katherine Hill
- Donna Marie Hills
- Julianne Holland
- Hope Connection, Inc.
- Inertia Dental, PLLC
- Inertia Sleep Solutions PLLC
- J Steven Tonelli DMD & Mark G Webster DDS Partnership
- Jimmerson Eyecare
- Carmen Johnson
All providers in North Reading, MA · Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.