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DR. TIMOTHY ROBERT DEVEREAUX PSY.D
NPI 1497922967
Psychologist - Clinical in Crescent City, CA

Active since May 13, 2008
5905 LAKE EARL DR, CRESCENT CITY, CA 95532(707) 465-1000 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy Robert Devereaux Psy.d NPPES

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

DR. TIMOTHY ROBERT DEVEREAUX PSY.D (NPI 1497922967) is an individual clinical provider in Crescent City, California, licensed in California (PSY32482) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1497922967
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TIMOTHY ROBERT DEVEREAUXCredential: PSY.D
Location Address5905 LAKE EARL DRCrescent City, CA 95532-0001
Mailing AddressPo Box 6453Brookings, OR 97415-0279 · (541) 600-0059
Phone(707) 465-1000
Sole ProprietorYes
Enumeration DateMay 13, 2008
Last NPPES UpdateJuly 13, 2023
NPPES CertifiedJuly 13, 2023
✔ NPI 1497922967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in CA · PSY32482✔ Licensed in WY · 529
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.
5905 LAKE EARL DR, Crescent City, CA 95532
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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.

NANETTE LATIMER PHARMACIST
Pharmacist
5905 LAKE EARL DR, PHARMACY DEPARTMENT
CRESCENT CITY, CA 95532
Del Norte County (707) 465-1000
DR. MASOUMEH ZINAT RAZAVI PHD
Psychologist (Clinical)
5905 LAKE EARL DR
CRESCENT CITY, CA 95532
Del Norte County (707) 465-1000
DR. NHAN HOANG DINH PHARMD
Pharmacist
5905 LAKE EARL DR
CRESCENT CITY, CA 95532
Del Norte County (707) 495-1000
MS. CINDY J FOX L.C.S.W.
Social Worker (Clinical)
5905 LAKE EARL DR
CRESCENT CITY, CA 95532
Del Norte County (707) 465-1000
CORRECTIONS AND REHABILITATION-HEADQUARTERS
Pharmacy
5905 LAKE EARL DR
CRESCENT CITY, CA 95532
Del Norte County (707) 465-1000
ROBERT BERNARD LEVINE PHD
Psychologist (Clinical)
5905 LAKE EARL DR
CRESCENT CITY, CA 95532
Del Norte County (707) 465-1000
DR. MELANIE S JONES ED.D., PSY.D.
Psychologist (Clinical)
5905 LAKE EARL DR
CRESCENT CITY, CA 95532
Del Norte County (707) 465-1000
DR. REGINA H RUSHE PH.D.
Psychologist (Clinical)
5905 LAKE EARL DR
CRESCENT CITY, CA 95532
Del Norte County (707) 465-1000

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 Devereaux's NPI number?

The NPI number for Timothy Devereaux is 1497922967. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Where is Timothy Devereaux located?

Timothy Devereaux practices at 5905 Lake Earl Dr, Crescent City, CA 95532. The listed phone number is (707) 465-1000.

What is Timothy Devereaux's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Timothy Devereaux was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.