DR. TIMOTHY RYAN SOUTHERLAND PHD
NPI 1154971513
Psychologist - Clinical in Little Rock Afb, AR

Q: What is Timothy Southerland's NPI number?

The NPI number for Timothy Southerland is 1154971513. It was assigned to this individual provider in the NPPES registry on September 18, 2019.

Q: What is Timothy Southerland's specialty?

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

Active since September 18, 2019PECOS Enrolled

1090 ARNOLD DR, LITTLE ROCK AFB, AR 72099(501) 987-7338 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 22, 2022, Jul 8, 2020, Sep 18, 2019 (3 updates tracked since 2019).

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About Dr. Timothy Ryan Southerland Phd NPPES

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

DR. TIMOTHY RYAN SOUTHERLAND PHD (NPI 1154971513) is an individual clinical provider in Little Rock Afb, Arkansas, licensed in Arkansas (202201) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154971513

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. TIMOTHY RYAN SOUTHERLANDCredential: PHD

Location Address1090 ARNOLD DRLittle Rock Afb, AR 72099-4933

Mailing Address1090 Arnold DrLittle Rock Afb, AR 72099-4933 · (501) 987-7338

Phone(501) 987-7338

Sole ProprietorNo

Enumeration DateSeptember 18, 2019

Last NPPES UpdateAugust 22, 20223 updates tracked since enumeration

NPPES CertifiedAugust 22, 2022

✔ NPI 1154971513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in AR · 202201

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.

1090 ARNOLD DR, Little Rock Afb, AR 72099

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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 Ryan Southerland Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 72099 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

$157.74 typical visit price

range $51.36 – $157.74

Typical copayment $39.43 (range $12.84 – $39.43)

Most-billed visit code 99205

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

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.

MELRITA MAECHEL JOHNSON LCSW

Social Worker (Clinical)

1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099

Pulaski County (501) 987-3080

MRS. TANYA NASHEL MILLER ADC

Counselor (Addiction (Substance Use Disorder))

1090 ARNOLD DR
JACKSONVILLE, AR 72099

Pulaski County (501) 987-7338

COURTNEY MCCULLEY PHARMD.

Pharmacist

1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099

Pulaski County (501) 987-7446

DR. SHARIFA FREIGHTMAN PH.D.

Psychologist (Clinical)

1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR 72099

Pulaski County (501) 987-3080

CARA D ROTH LCSW

Social Worker (Clinical)

1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099

Pulaski County (501) 987-8811

KELLY LAWRENCE BSN, RN

Registered Nurse (Case Management)

1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR 72099

Pulaski County (501) 987-8811

TAYLOR FLESHMAN RD

Dietitian, Registered

1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR 72099

Pulaski County (501) 987-2708

MARY EILEEN KELLY

Dental Hygienist

1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099

Pulaski County (501) 987-7304

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 Timothy Southerland's NPI number?

The NPI number for Timothy Southerland is 1154971513. It was assigned to this individual provider in the NPPES registry on September 18, 2019.

Where is Timothy Southerland located?

Timothy Southerland practices at 1090 Arnold Dr, Little Rock Afb, AR 72099. The listed phone number is (501) 987-7338.

What is Timothy Southerland's specialty?

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

Is Timothy Southerland enrolled in Medicare?

Yes. Timothy Southerland is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Southerland was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.