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DR. TIMOTHY A CONNOR PSY.D.
NPI 1780625954
Psychologist - Clinical in Idaho Falls, ID

Active since June 09, 2006Opted out of Medicare · through Oct 1, 2027
211 S WOODRUFF AVE, SUITE J, IDAHO FALLS, ID 83401(208) 529-5548(208) 529-5588 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy A Connor Psy.d. NPPES

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

DR. TIMOTHY A CONNOR PSY.D. (NPI 1780625954) is an individual clinical provider in Idaho Falls, Idaho, licensed in Idaho (202118) and active in the NPI registry since June 2006. He has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1780625954
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TIMOTHY A CONNORCredential: PSY.D.
Location Address211 S WOODRUFF AVE, SUITE JIdaho Falls, ID 83401-4369
Mailing Address211 S Woodruff Ave, Suite JIdaho Falls, ID 83401-4369 · (208) 529-5548 · Fax (208) 529-5588
Phone(208) 529-5548
Fax(208) 529-5588
Sole ProprietorYes
Enumeration DateJune 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1780625954 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 ID · 202118
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.
211 S WOODRUFF AVE, Idaho Falls, ID 83401
Open in Google Maps ↗

Other Identifiers 3

Other000010155441ID · Regence Blue Shield
Medicare ID-Type Unspecified1684682
OtherN6279ID · Blue Cross

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Timothy A Connor Psy.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 October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

EVA HYNES L.AC.
Acupuncturist
211 S WOODRUFF AVE, STE C
IDAHO FALLS, ID 83401
Bonneville County (208) 524-0738
NATHAN HORLACHER BC-HIS
Hearing Instrument Specialist
211 S WOODRUFF AVE, STE 3
IDAHO FALLS, ID 83401
Bonneville County (208) 524-1112
MICHAEL J HARRIS MSW, PH.D
Social Worker (Clinical)
211 S WOODRUFF AVE, A4
IDAHO FALLS, ID 83401
Bonneville County (208) 529-5548
MRS. MELISSA LEE RAYNE-MARTIN LMSW
Social Worker
211 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 524-4818

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 Connor's NPI number?

The NPI number for Timothy Connor is 1780625954. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Timothy Connor located?

Timothy Connor practices at 211 S Woodruff Ave Suite J, Idaho Falls, ID 83401. The listed phone number is (208) 529-5548.

What is Timothy Connor's specialty?

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

Is Timothy Connor enrolled in Medicare?

No. Timothy Connor has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Timothy Connor 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.