DR. TIMOTHY JAMES LEGG PHD, PSYD, CRNP
NPI 1063427417
Psychologist - Clinical in Clarks Summit, PA

Q: What is Timothy Legg's NPI number?

The NPI number for Timothy Legg is 1063427417. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Timothy Legg's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Legg was last updated on November 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 31, 2006PECOS Enrolled

421 S STATE ST, CLARKS SUMMIT, PA 18411(570) 682-5777(570) 284-3078 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 12, 2024, Nov 30, 2021 (2 updates tracked since 2021).

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About Dr. Timothy James Legg Phd, Psyd, Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY JAMES LEGG PHD, PSYD, CRNP (NPI 1063427417) is an individual clinical provider in Clarks Summit, Pennsylvania, licensed in Pennsylvania (PS019448) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1063427417

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. TIMOTHY JAMES LEGGCredential: PHD, PSYD, CRNP

Location Address421 S STATE STClarks Summit, PA 18411-1684

Mailing Address421 S State StClarks Summit, PA 18411-1684 · (570) 682-5777 · Fax (570) 284-3078

Phone(570) 682-5777

Fax(570) 284-3078

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 31, 2006

Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration

NPPES CertifiedNovember 12, 2024

✔ NPI 1063427417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PA · PS019448

Definition

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.

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License SP-006515-H (PA)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License SP013800 (PA)

421 S STATE ST, Clarks Summit, PA 18411

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy James Legg Phd, Psyd, Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507027364

PECOS Enrollment IDI20120423000395, I20211221000205

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18411 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.87 typical visit price

range $54.64 – $166.87

Typical copayment $41.71 (range $13.66 – $41.71)

Most-billed visit code 99205

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID RENJILIAN PH.D.

Psychologist (Clinical)