TIMOTHY C. BRAY PH.D.
NPI 1699710509
Psychologist - Clinical in Nashua, NH

Q: What is Timothy Bray's NPI number?

The NPI number for Timothy Bray is 1699710509. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Q: What is Timothy Bray's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Timothy Bray was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 17, 2006PECOS Enrolled

76 NORTHEASTERN BLVD STE 36A, NASHUA, NH 03062(603) 881-7554(603) 881-7533 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 21, 2021, Dec 7, 2015 (2 updates tracked since 2015).

On this page

About Timothy C. Bray Ph.d. NPPES

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

TIMOTHY C. BRAY PH.D. (NPI 1699710509) is an individual clinical provider in Nashua, New Hampshire, licensed in New Hampshire (941) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1699710509

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameTIMOTHY C. BRAYCredential: PH.D.

Location Address76 NORTHEASTERN BLVD STE 36ANashua, NH 03062-3196

Mailing AddressWillowdale Counseling Center, 76 Northeastern Boulevard, Unit 36aNashua, NH 03062-3196 · (603) 881-7554 · Fax (603) 881-7533

Phone(603) 881-7554

Fax(603) 881-7533

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJune 17, 2006

Last NPPES UpdateSeptember 21, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2021

✔ NPI 1699710509 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 NH · 941✔ Licensed in MA · 7920

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.

76 NORTHEASTERN BLVD STE 36A, Nashua, NH 03062

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Other Identifiers 2

Other06Y000951NH01NH · Behavioral Health Network

Medicaid30421223NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy C. Bray Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658344841

PECOS Enrollment IDI20040816001339

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.

Medicare Billing Reassignments

Medicare enrollment records show Timothy Bray reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Willowdale Counseling Center II PLLC

Same address

Psychologist

76 NORTHEASTERN BLVD STE 36A
Nashua, NH 03062

Reassigned Medicare billing, New Hampshire enrollment
3 clinicians in this Medicare group

NPI 1356208912 (603) 881-7554

Willowdale Counseling Center, PLLC

Same address

Clinical

76 NORTHEASTERN BLVD STE 36A
Nashua, NH 03062

Reassigned Medicare billing, New Hampshire enrollment
6 clinicians in this Medicare group

NPI 1376635102 (603) 881-7554

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03062 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

$174.26 typical visit price

range $57.75 – $174.26

Typical copayment $43.56 (range $14.43 – $43.56)

Most-billed visit code 99205

Established Patient

$101.54 typical visit price

range $18.70 – $142.15

Typical copayment $25.38 (range $4.67 – $35.53)

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 5

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

SARAH A KORNHAUS

Counselor (Mental Health)