TIMOTHY MICHAEL DEMPSEY PH.D.
NPI 1902155740
Psychologist - Clinical in Syracuse, NY

Active since September 07, 2012PECOS Enrolled
1031 E FAYETTE ST, SYRACUSE, NY 13210(315) 732-3431 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Timothy Michael Dempsey Ph.d. NPPES

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

TIMOTHY MICHAEL DEMPSEY PH.D. (NPI 1902155740) is an individual clinical provider in Syracuse, New York, licensed in New York (019723) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902155740
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameTIMOTHY MICHAEL DEMPSEYCredential: PH.D.
Location Address1031 E FAYETTE STSyracuse, NY 13210-1022
Mailing Address1031 E Fayette StSyracuse, NY 13210-1022 · (315) 732-3431
Sole ProprietorYes
Enumeration DateSeptember 7, 2012
Last NPPES UpdateNovember 22, 2019
✔ NPI 1902155740 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 NY · 019723
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.
1031 E FAYETTE ST, Syracuse, NY 13210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Michael Dempsey Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Timothy Dempsey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
122 BUSINESS PARK DR, SUITE 1
Utica, NY 13502
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
Clinic/Center
430 COURT ST STE 140
Utica, NY 13502
  • Reassigned Medicare billing, New York enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Behavior Technician
1031 E FAYETTE ST
SYRACUSE, NY 13210
Behavior Technician
1031 E FAYETTE ST
SYRACUSE, NY 13210
Social Worker
1031 E FAYETTE ST
SYRACUSE, NY 13210
Behavior Technician
1031 E FAYETTE ST
SYRACUSE, NY 13210
Behavior Analyst
1031 E FAYETTE ST
SYRACUSE, NY 13210
Counselor (Addiction (Substance Use Disorder))
1031 E FAYETTE ST
SYRACUSE, NY 13210
Behavior Technician
1031 E FAYETTE ST
SYRACUSE, NY 13210
Behavior Technician
1031 E FAYETTE ST
SYRACUSE, NY 13210

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 Dempsey's NPI number?

The NPI number for Timothy Dempsey is 1902155740. It was assigned to this individual provider in the NPPES registry on September 7, 2012.

Where is Timothy Dempsey located?

Timothy Dempsey practices at 1031 E Fayette St, Syracuse, NY 13210. The listed phone number is (315) 732-3431.

What is Timothy Dempsey's specialty?

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

Is Timothy Dempsey enrolled in Medicare?

Yes. Timothy Dempsey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Timothy Dempsey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Dempsey reassigns Medicare benefits to 2 organizations: Adhd & Autism Psychological Services And Advocacy, PLLC (Utica, NY) and Kelberman Center, Inc (Utica, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Dempsey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Timothy Dempsey was last updated on November 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.