Individual provider Active NPI

Timothy W Hughes, PSYD, MA

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1982852570
Registry record updated Dec 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
018910-1 Issued in NY
Practice address
928 Broadway Ste 300
New York, NY 10010-8158
Phone
(212) 203-7545
NPI assigned
Sep 8, 2008
Last updated
Dec 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 8.003101 CT
Clinical Psychologist 103TC0700X 018910-1 NY Primary

Addresses

Primary practice location

928 Broadway Ste 300
New York, NY 10010-8158

Mailing address

928 Broadway Ste 300
New York, NY 10010-8158
Phone (212) 203-7545

Other practice location 1

21 Locust Ave
1B
New Canaan, CT 06840-4735
Phone (203) 249-7151

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
8.003101CTMDClinical Psychologist
018910-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Point CPS Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545609600000",
    "number": "1982852570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 BROADWAY STE 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108158",
            "telephone_number": "212-203-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BROADWAY STE 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108158",
            "telephone_number": "212-203-7545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Locust Ave",
            "address_2": "1B",
            "address_purpose": "LOCATION",
            "city": "New Canaan",
            "state": "CT",
            "postal_code": "068404735",
            "country_code": "US",
            "telephone_number": "203-249-7151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "TIMOTHY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PSYD, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2018-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "8.003101",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018910-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; 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.