DR. TIM ALAN GERGEN PHD
NPI 1215054010
Psychologist - Clinical in Irvine, CA
About Dr. Tim Alan Gergen Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIM ALAN GERGEN PHD (NPI 1215054010) is an individual clinical provider in Irvine, California, licensed in California (PSY9765) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1984).
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
Enrolled in Medicare and accepts Medicare assignment
Dr. Tim Alan Gergen Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
IRVINE, CA 92612
IRVINE, CA 92612
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 Gergen's NPI number?
The NPI number for Tim Gergen is 1215054010. It was assigned to this individual provider in the NPPES registry on March 25, 2007.
Where is Tim Gergen located?
Tim Gergen practices at 2192 Martin Suite 125, Irvine, CA 92612. The listed phone number is (949) 851-8001.
What is Tim Gergen's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Tim Gergen enrolled in Medicare?
Yes. Tim Gergen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Tim Gergen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Tim Alan Gergen, PHD · NPI 1215054010
Clinical provider in Irvine, California. Individual provider, active in the CMS NPPES registry since March 25, 2007.
## Identity
- **NPI:** 1215054010 (Entity type: Individual)
- **Enumerated:** March 25, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY9765 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2192 MARTIN, SUITE 125, Irvine, CA 92612-1428
- **Phone:** (949) 851-8001
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1984
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1215054010) · Data from the CMS NPPES public registry.