TIMOTHY B CORMIER L.P.C.
NPI 1326090861
Counselor - Professional in New London, CT

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
21 MONTAUK AVE, NEW LONDON, CT 06320(860) 439-6400(860) 390-1463 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 8, 2021, Feb 24, 2016 (2 updates tracked since 2016).

About Timothy B Cormier L.p.c. NPPES

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

TIMOTHY B CORMIER L.P.C. (NPI 1326090861) is an individual professional provider in New London, Connecticut, licensed in Connecticut (001138) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1326090861
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTIMOTHY B CORMIERCredential: L.P.C.
Location Address21 MONTAUK AVENew London, CT 06320-4906
Mailing AddressPo Box 390New London, CT 06320-0390 · (860) 271-4700 · Fax (860) 271-4797
Fax(860) 390-1463
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 16, 2006
Last NPPES UpdateNovember 8, 20212 updates tracked since enumeration
NPPES CertifiedNovember 8, 2021
NPI 1326090861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CT · 001138
21 MONTAUK AVE, New London, CT 06320

Accepted Insurance

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

Timothy B Cormier L.p.c. 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.

PECOS PAC ID2961934997
PECOS Enrollment IDI20241016000761
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.

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.

Dentist (General Practice)
21 MONTAUK AVE, SUITE 102
NEW LONDON, CT 06320
Dentist (General Practice)
21 MONTAUK AVE, SUITE 102
NEW LONDON, CT 06320
Dentist
21 MONTAUK AVE, #102
NEW LONDON, CT 06320
Dentist (General Practice)
21 MONTAUK AVE, SUITE 102
NEW LONDON, CT 06320
Psychiatry & Neurology (Psychiatry)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Nurse Practitioner (Psychiatric/Mental Health)
21 MONTAUK AVE
NEW LONDON, CT 06320

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326090861, enumerated as an "individual" on May 16, 2006.

The provider is located at 21 MONTAUK AVE NEW LONDON, CT 06320 and the phone number is (860) 439-6400.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.