DR. TIMOTHY MARK BEACH PSY. D.
NPI 1427397702
Psychologist - Clinical in Merced, CA

Active since February 06, 2013
414 W 21ST ST, MERCED, CA 95340(510) 502-3163 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Timothy Mark Beach Psy. D. NPPES

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

DR. TIMOTHY MARK BEACH PSY. D. (NPI 1427397702) is an individual clinical provider in Merced, California, licensed in California (22544) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1427397702
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TIMOTHY MARK BEACHCredential: PSY. D.
Location Address414 W 21ST STMerced, CA 95340-3718
Mailing Address414 W 21st StMerced, CA 95340-3718 · (510) 502-3163
Sole ProprietorYes
Enumeration DateFebruary 6, 2013
Last NPPES UpdateJanuary 24, 2023
NPPES CertifiedJanuary 24, 2023
NPI 1427397702 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 CA · 22544
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.

414 W 21ST ST, Merced, CA 95340

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Timothy Mark Beach Psy. D. 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 April 12, 2024 through April 12, 2026.

Opt-Out Effective DateApril 12, 2024
Opt-Out In Effect ThroughApril 12, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
414 W 21ST ST
MERCED, CA 95340
Clinical Neuropsychologist
414 W 21ST ST
MERCED, CA 95340
Marriage & Family Therapist
414 W 21ST ST
MERCED, CA 95340
Marriage & Family Therapist
414 W 21ST ST
MERCED, CA 95340
Psychologist (Clinical)
414 W 21ST ST
MERCED, CA 95340

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427397702, enumerated as an "individual" on February 06, 2013.

The provider is located at 414 W 21ST ST MERCED, CA 95340 and the phone number is (510) 502-3163.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.