MR. TIMOTHY MICHAEL CORDELL
NPI 1194956771
Counselor - Mental Health in San Rafael, CA
About Mr. Timothy Michael Cordell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TIMOTHY MICHAEL CORDELL (NPI 1194956771) is an individual mental health provider in San Rafael, California and active in the NPI registry since July 2009. He has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Timothy Michael Cordell has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.
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.
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
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 Cordell's NPI number?
The NPI number for Timothy Cordell is 1194956771. It was assigned to this individual provider in the NPPES registry on July 30, 2009.
Where is Timothy Cordell located?
Timothy Cordell practices at 555 Northgate Dr Family Service Agency Of Marin, San Rafael, CA 94903. The listed phone number is (415) 626-2388.
What is Timothy Cordell's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Timothy Cordell enrolled in Medicare?
No. Timothy Cordell has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Timothy Cordell was last updated on July 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mr. Timothy Michael Cordell · NPI 1194956771
Mental Health provider in San Rafael, California. Individual provider, active in the CMS NPPES registry since July 30, 2009.
## Identity
- **NPI:** 1194956771 (Entity type: Individual)
- **Enumerated:** July 30, 2009
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN, San Rafael, CA 94903-3680
- **Phone:** (415) 626-2388
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 30, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1194956771) · Data from the CMS NPPES public registry.