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DR. TIMOTHY MICHAEL TISDELL PSYD
NPI 1750588406
Counselor - Mental Health in Piedmont, CA

Active since June 27, 2007PECOS EnrolledAccepts Medicare Assignment
1250 GRAND AVE, PIEDMONT, CA 94610(510) 655-7880(510) 655-3379 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Timothy Michael Tisdell Psyd NPPES

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

DR. TIMOTHY MICHAEL TISDELL PSYD (NPI 1750588406) is an individual mental health provider in Piedmont, California, licensed in California (PSY19828) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1750588406
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. TIMOTHY MICHAEL TISDELLCredential: PSYD
Location Address1250 GRAND AVEPiedmont, CA 94610-1002
Mailing Address1250 Grand AvePiedmont, CA 94610-1002 · (510) 655-7880 · Fax (510) 655-3379
Phone(510) 655-7880
Fax(510) 655-3379
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJune 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1750588406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · PSY19828
1250 GRAND AVE, Piedmont, CA 94610
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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

Dr. Timothy Michael Tisdell Psyd 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 ID7416253612
PECOS Enrollment IDI20160315001148
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.

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.

MRS. JENINE RENE ARIZMENDI
Marriage & Family Therapist
1250 GRAND AVE
PIEDMONT, CA 94610
Alameda County (510) 915-1371
CORIE GOULD
Student in an Organized Health Care Education/Training Program
1250 GRAND AVE
PIEDMONT, CA 94610
Alameda County (510) 655-7880
MS. KAREN MICHELE DEVANEY MA
Counselor (Mental Health)
1250 GRAND AVE
PIEDMONT, CA 94610
Alameda County (510) 655-7880
MICHELLE N. BAKER MFT
Marriage & Family Therapist
1250 GRAND AVE
PIEDMONT, CA 94610
Alameda County (510) 655-7880
DR. MAHIMA MURALIDHARAN PSY.D.
Counselor (Mental Health)
1250 GRAND AVE
PIEDMONT, CA 94610
Alameda County (510) 655-7880
DR. KIRBY GILBERT SURPRISE PSYD
Psychologist (Clinical)
1250 GRAND AVE
PIEDMONT, CA 94610
Alameda County (510) 655-7880
ALEXANDER KLEIN
Student in an Organized Health Care Education/Training Program
1250 GRAND AVE
PIEDMONT, CA 94610
Alameda County (510) 655-7880
ADRIAN LLOYD WILLEY MA
Counselor (Mental Health)
1250 GRAND AVE
PIEDMONT, CA 94610
Alameda County (510) 655-7880

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 Tisdell's NPI number?

The NPI number for Timothy Tisdell is 1750588406. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Timothy Tisdell located?

Timothy Tisdell practices at 1250 Grand Ave, Piedmont, CA 94610. The listed phone number is (510) 655-7880.

What is Timothy Tisdell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Timothy Tisdell enrolled in Medicare?

Yes. Timothy Tisdell 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 Tisdell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.