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TIMOTHY JOHN SHOCKLEE 2113397 I
NPI 1891330536
Counselor - Addiction (Substance Use Disorder) in Riverside, CA

Active since November 15, 2019
2085 RUSTIN AVE, RIVERSIDE, CA 92507(951) 955-2105 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2024, Nov 15, 2019 (2 updates tracked since 2019).

About Timothy John Shocklee 2113397 I NPPES

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

TIMOTHY JOHN SHOCKLEE 2113397 I (NPI 1891330536) is an individual addiction (substance use disorder) provider in Riverside, California and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1891330536
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTIMOTHY JOHN SHOCKLEECredential: 2113397 I
Location Address2085 RUSTIN AVERiverside, CA 92507-2498
Mailing Address2085 Rustin AveRiverside, CA 92507-2498 · (951) 955-2105
Phone(951) 955-2105
Sole ProprietorNo
Enumeration DateNovember 15, 2019
Last NPPES UpdateMay 1, 20242 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
✔ NPI 1891330536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2085 RUSTIN AVE, Riverside, CA 92507
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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.

MR. LUIS CARLOS LAMADRID B.A.,CAS. MSW
Social Worker
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-7172
GAIL LOUISE LEAVITT CPSS
Peer Specialist
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-1183
ERNESTINA ELIZABETH MCGREW RN
Registered Nurse
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-2105
MIGUEL A AGUILAR JR.
Student in an Organized Health Care Education/Training Program
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-7170
MRS. KRISTIN JEAN MILLER M.S.W
Social Worker (Clinical)
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 715-5040
MICHAEL DEGRUTT LMFT
Counselor (Mental Health)
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 715-5040
MYRA LAREA QUIRK
Marriage & Family Therapist
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-7263
LORENA MIHALKOVITZ MA, LMFT
Marriage & Family Therapist
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Riverside County (951) 867-3800

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 Shocklee's NPI number?

The NPI number for Timothy Shocklee is 1891330536. It was assigned to this individual provider in the NPPES registry on November 15, 2019.

Where is Timothy Shocklee located?

Timothy Shocklee practices at 2085 Rustin Ave, Riverside, CA 92507. The listed phone number is (951) 955-2105.

What is Timothy Shocklee's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Timothy Shocklee was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.