Timothy M Tavis, PH D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 6213 Issued in FL

Practice address

1900 S Olive Ave
West Palm Beach, FL 33401-7726

Phone

(561) 882-4008

Fax

(561) 881-4432

NPI assigned

Oct 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922184316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 E BLUE HERON BLVD # 162",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334044739",
            "telephone_number": "561-882-4008",
            "fax_number": "561-881-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S OLIVE AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334017726",
            "telephone_number": "561-882-4008",
            "fax_number": "561-881-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVIS",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 6213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheldon J Taub, M.D.
• Carolina Taupo, MS. RDN/LDN
• Neusa Nunes Tavares, BA
• Samantha Tavender, OT
• Luis Miguel Taveras
• Patricia Marie Taylor Devuyst, LMT
• Angella Taylor, HHA
• Anne Maria Taylor
• Britney Taylor
• Denise M Taylor, CRNA

• Psychologist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Psychologist in Florida

• 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.

Verify at the official NPI Registry.