TIMOTHY C SHORT PH.D.
NPI 1891708335
Psychologist - Group Psychotherapy in Melbourne, FL

Q: What is Timothy Short's NPI number?

The NPI number for Timothy Short is 1891708335. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Q: What is Timothy Short's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Short was last updated on September 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 August 14, 2006

1611 S APOLLO BLVD, MELBOURNE, FL 32901(321) 724-2444(321) 952-4131 Get Directions Write a Review

NPPES record last updated: September 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Timothy C Short Ph.d. NPPES

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

TIMOTHY C SHORT PH.D. (NPI 1891708335) is an individual group psychotherapy provider in Melbourne, Florida, licensed in Florida (PY4790) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1891708335

Entity TypeIndividualMale

Primary Taxonomy103TP2701X

Provider Legal NameTIMOTHY C SHORTCredential: PH.D.

Location Address1611 S APOLLO BLVDMelbourne, FL 32901-4407

Mailing Address1611 S Apollo BlvdMelbourne, FL 32901-4407 · (321) 724-2444 · Fax (321) 952-4131

Phone(321) 724-2444

Fax(321) 952-4131

Sole ProprietorYes

Enumeration DateAugust 14, 2006

Last NPPES UpdateSeptember 9, 2008

✔ NPI 1891708335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Group PsychotherapyBehavioral Health & Social Service Providers

Taxonomy Code103TP2701X

License✔ Licensed in FL · PY4790

Definition

A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

1611 S APOLLO BLVD, Melbourne, FL 32901

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Other Identifiers 1

Medicare PIN59348FL

Other Providers at the Same Location NPPES

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

BREVARD PSYCHOLOGICAL ASSOCIATES, INC

Psychologist (Counseling)

1611 S APOLLO BLVD
MELBOURNE, FL 32901

Brevard County (321) 724-2444

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 Short's NPI number?

The NPI number for Timothy Short is 1891708335. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Timothy Short located?

Timothy Short practices at 1611 S Apollo Blvd, Melbourne, FL 32901. The listed phone number is (321) 724-2444.

What is Timothy Short's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

When was this NPI record last updated?

The NPPES record for Timothy Short was last updated on September 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.