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DR. TIMOTHY TENNYSON PHD NPI 1407290752


NPI Information

NPI: 1407290752
Provider Name: DR. TIMOTHY TENNYSON, PHD
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
3140 RED HILL AVE STE 130
COSTA MESA, CA
ZIP 92626
Phone: (949) 307-3600
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DR. Timothy Tennyson, PHD is a clinical psychologist in Costa Mesa, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Timothy Tennyson, PHD NPI is 1407290752. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3140 RED HILL AVE STE 130
COSTA MESA, CA
ZIP 92626-400
Phone: (949) 307-3600

The enumeration date for this NPI number is 4/17/2013 and was last updated on 4/17/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistPSY10217CALIFORNIANo
2103TB0200XPsychologistCognitive & BehavioralPSY10217CALIFORNIANo
3103TF0200XPsychologistForensicPSY10217CALIFORNIANo
4103TC0700XPsychologistClinicalPSY10217CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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