TIMOTHY G. LOCK PH.D.
NPI 1720101686
Psychologist in Brookfield, CT

Active since April 07, 2007Opted out of Medicare · through May 1, 2027
2 OLD NEW MILFORD RD, SUITE 2A - LANDMARK OFFICE CENTER, BROOKFIELD, CT 06804(203) 775-3820(203) 775-3820 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy G. Lock Ph.d. NPPES

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

TIMOTHY G. LOCK PH.D. (NPI 1720101686) is an individual psychologist in Brookfield, Connecticut, licensed in Connecticut (002385) and active in the NPI registry since April 2007. He has opted out of Medicare through May 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720101686
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameTIMOTHY G. LOCKCredential: PH.D.
Location Address2 OLD NEW MILFORD RD, SUITE 2A - LANDMARK OFFICE CENTERBrookfield, CT 06804-2426
Mailing Address2 Old New Milford Rd, Suite 2a - Landmark Office CenterBrookfield, CT 06804-2426 · (203) 775-3820 · Fax (203) 775-3820
Fax(203) 775-3820
Sole ProprietorYes
Enumeration DateApril 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1720101686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in CT · 002385 Licensed in NY · 014926
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.

2 OLD NEW MILFORD RD, Brookfield, CT 06804

Other Identifiers 4

Other250250CT · Mhn Hmc
Other060002385CT01CT · Anthem Blue Cross Blue Sh
OtherP2534362CT · Oxford Health Plan
Other2147508CT · Cigna Behavioral Health

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Timothy G. Lock Ph.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 May 1, 2019 through May 1, 2027.

Opt-Out Effective DateMay 1, 2019
Opt-Out In Effect ThroughMay 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Chiropractor
2 OLD NEW MILFORD RD
BROOKFIELD, CT 06804
Dentist (General Practice)
2 OLD NEW MILFORD RD, SUITE 3D
BROOKFIELD, CT 06804
Counselor
2 OLD NEW MILFORD RD, SUITE 2A
BROOKFIELD, CT 06804
Counselor
2 OLD NEW MILFORD RD, SUITE 2A
BROOKFIELD, CT 06804
Counselor (Professional)
2 OLD NEW MILFORD RD, SUITE 1B
BROOKFIELD, CT 06804
Psychologist (Clinical)
2 OLD NEW MILFORD RD, 1E
BROOKFIELD, CT 06804
Dentist (General Practice)
2 OLD NEW MILFORD RD, 1-A
BROOKFIELD, CT 06804
Social Worker (Clinical)
2 OLD NEW MILFORD RD, SUITE 2A
BROOKFIELD, CT 06804

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 Lock's NPI number?

The NPI number for Timothy Lock is 1720101686. It was assigned to this individual provider in the NPPES registry on April 7, 2007.

Where is Timothy Lock located?

Timothy Lock practices at 2 Old New Milford Rd Suite 2A - Landmark Office Center, Brookfield, CT 06804. The listed phone number is (203) 775-3820.

What is Timothy Lock's specialty?

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

Is Timothy Lock enrolled in Medicare?

No. Timothy Lock has opted out of Medicare through May 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Timothy Lock was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.