TIM GOMERSALL L.E.P.
NPI 1114285772
Psychologist - School in Eureka, CA

Active since May 01, 2012
525 2ND ST, EUREKA, CA 95501(707) 407-7475(707) 441-1913 Get Directions Write a Review

NPPES record last updated: May 1, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tim Gomersall L.e.p. NPPES

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

TIM GOMERSALL L.E.P. (NPI 1114285772) is an individual school provider in Eureka, California, licensed in California (LEP 2754) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1114285772
Entity TypeIndividualMale
Primary Taxonomy103TS0200X
Provider Legal NameTIM GOMERSALLCredential: L.E.P.
Location Address525 2ND STEureka, CA 95501-5107
Mailing AddressPo Box 6131Eureka, CA 95502-6131 · (707) 407-7475 · Fax (707) 441-1913
Fax(707) 441-1913
Sole ProprietorYes
Enumeration DateMay 1, 2012
NPI 1114285772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
License Licensed in CA · LEP 2754
Definition

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

525 2ND ST, Eureka, CA 95501

Other Providers at the Same Location NPPES 3

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

Pediatrics
525 2ND ST, #300
EUREKA, CA 95501
Nurse Practitioner
525 2ND ST, SUITE 219
EUREKA, CA 95501
Psychiatry & Neurology (Psychiatry)
525 2ND ST, SUITE 300
EUREKA, CA 95501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tim Gomersall's NPI number?

The NPI number for Tim Gomersall is 1114285772. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Where is Tim Gomersall located?

Tim Gomersall practices at 525 2nd St, Eureka, CA 95501. The listed phone number is (707) 407-7475.

What is Tim Gomersall's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

When was this NPI record last updated?

The NPPES record for Tim Gomersall was last updated on May 1, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.