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TIMOTHY SIPPOLA PH.D.
NPI 1508958992
Psychologist - Clinical in Emporia, KS

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment
1402 EXCHANGE CT, EMPORIA, KS 66801(620) 481-0100 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2025, Dec 11, 2024 (2 updates tracked since 2024).

About Timothy Sippola Ph.d. NPPES

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

TIMOTHY SIPPOLA PH.D. (NPI 1508958992) is an individual clinical provider in Emporia, Kansas, licensed in Kansas (00523) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Emporia, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1508958992
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameTIMOTHY SIPPOLACredential: PH.D.
Location Address1402 EXCHANGE CTEmporia, KS 66801-5272
Mailing Address1402 Exchange CtEmporia, KS 66801-5272 · (620) 342-1998 · Fax (620) 342-1998
Phone(620) 481-0100
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateSeptember 29, 2006
Last NPPES UpdateFebruary 6, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
✔ NPI 1508958992 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 KS · 00523
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.
1402 EXCHANGE CT, Emporia, KS 66801
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Secondary Practice Location 1

Location 11402 Exchange CtEmporia, KS 66801-5272 · Phone (620) 342-1998 · Fax (620) 342-1998

Other Identifiers 17

Other48-1212043KS · Aetna 60054
Other48-1212043KS · Cigna
Other48-1212043KS · Health Partners Of Ks
OtherP00285242KS · Rail Road Medicare
Other119025KS · Bc & Bs Of Ks
Other48-1212043KS · Value Options
Other48-1212043KS · Preferred Health Systems
Other48-1212043KS · Century Health Solutions
Other48-1212043KS · Banker's Life & Casualty
Other48-1212043KS · Federated Insurance
Other48-1212043KS · Triwest
Other48-1212043KS · Fmh Benefit Services
Other48-1212043KS · Cooperative Benefit Admin
Other48-1212043KS · United Behavioral Health
Other48-1212043KS · Assurant Health/fortis
Other48-1212043KS · Central States - Se & Sw
Other48-1212043KS · Fiserv Health

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 Sippola 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 ID4183891385
PECOS Enrollment IDI20120111000216
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$161.67 typical visit price
range $53.00 – $161.67
Typical copayment $40.41 (range $13.25 – $40.41)
Most-billed visit code 99205
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

EMPORIA PSYCHOLOGICAL SERVICES INC
Psychologist
1402 EXCHANGE CT
EMPORIA, KS 66801
Lyon County (620) 342-1998

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 Sippola's NPI number?

The NPI number for Timothy Sippola is 1508958992. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Timothy Sippola located?

Timothy Sippola practices at 1402 Exchange Ct, Emporia, KS 66801. The listed phone number is (620) 481-0100.

What is Timothy Sippola's specialty?

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

Is Timothy Sippola enrolled in Medicare?

Yes. Timothy Sippola 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 Timothy Sippola was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.