DR. TIMOTHY MARTIN REISENAUER PH.D.
NPI 1407032063
Psychologist in Mill Creek, WA

Active since January 14, 2008PECOS EnrolledAccepts Medicare Assignment
15418 MAIN ST UNIT 301, MILL CREEK, WA 98012(425) 385-2362 Get Directions Write a Review

NPPES record last updated: January 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Timothy Martin Reisenauer Ph.d. NPPES

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

DR. TIMOTHY MARTIN REISENAUER PH.D. (NPI 1407032063) is an individual psychologist in Mill Creek, Washington, licensed in Washington (1287) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1407032063
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. TIMOTHY MARTIN REISENAUERCredential: PH.D.
Location Address15418 MAIN ST UNIT 301Mill Creek, WA 98012-9031
Mailing Address15418 Main St Unit 301Mill Creek, WA 98012-9031
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJanuary 14, 2008
NPI 1407032063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · 1287
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
15418 MAIN ST UNIT 301, Mill Creek, WA 98012

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

Dr. Timothy Martin Reisenauer Ph.d. 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 ID3072507995
PECOS Enrollment IDI20040414000339
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.

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 Reisenauer's NPI number?

The NPI number for Timothy Reisenauer is 1407032063. It was assigned to this individual provider in the NPPES registry on January 14, 2008.

Where is Timothy Reisenauer located?

Timothy Reisenauer practices at 15418 Main St Unit 301, Mill Creek, WA 98012. The listed phone number is (425) 385-2362.

What is Timothy Reisenauer's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Timothy Reisenauer enrolled in Medicare?

Yes. Timothy Reisenauer 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.

What insurance does Timothy Reisenauer accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Timothy Reisenauer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Reisenauer was last updated on January 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.