Timothy Michael Tisdell in Piedmont - Mental Health
Timothy Michael Tisdell - NPI 1750588406
Timothy Michael Tisdell is a Mental Health in Piedmont, California. Timothy Michael Tisdell practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Timothy Michael Tisdell is 1750588406. The last update date is 2007-07-08.
Timothy Michael Tisdell's current location address is 1250 Grand Ave, Piedmont, California. You can contact this provider via phone number 5106557880 and fax number 5106553379. The mailing address for Timothy Michael Tisdell is 1250 Grand Ave, Piedmont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Michael Tisdell |
|---|---|
| Address | 1250 Grand Ave, Piedmont, California |
| Phone Number | 5106557880 |
| Fax Number | 5106553379 |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1750588406 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1250 Grand Ave |
|---|---|
| City | Piedmont |
| State | California (CA) |
| Post Code | 946101002 |
| Phone Number | 5106557880 |
| Fax Number | 5106553379 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | PSY19828 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identification code issued to Timothy Michael Tisdell by the Centers for Medicare & Medicaid Services?
The Timothy Michael Tisdell has been assigned the NPI (National Provider Identifier) 1750588406 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Timothy Michael Tisdell's facilities are situated?
The facilities of Timothy Michael Tisdell are physically located at the following address: 1250 Grand Ave, Piedmont, CA, 946101002.
What is Timothy Michael Tisdell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Timothy Michael Tisdell is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1750588406 to Timothy Michael Tisdell?
The Centers for Medicare & Medicaid Services assigned the 1750588406 to Timothy Michael Tisdell on 2007-06-27.
When was the information related to Timothy Michael Tisdell most recently updated or refreshed?
The details pertaining to the Timothy Michael Tisdell, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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