TIMOTHY LEE SAMS PHD
NPI 1912010885
Psychologist - Cognitive & Behavioral in Lake Forest, CA
About Timothy Lee Sams Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY LEE SAMS PHD (NPI 1912010885) is an individual cognitive & behavioral provider in Lake Forest, California, licensed in California (PSY12149) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Timothy Lee Sams Phd 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.
Medicare Billing Reassignment
Medicare enrollment records show Timothy Sams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Palm Desert, CA 92211
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Sams's NPI number?
The NPI number for Timothy Sams is 1912010885. It was assigned to this individual provider in the NPPES registry on August 16, 2006.
Where is Timothy Sams located?
Timothy Sams practices at 23792 Rockfield Blvd Ste 290, Lake Forest, CA 92630. The listed phone number is (949) 458-1073.
What is Timothy Sams's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.
Is Timothy Sams enrolled in Medicare?
Yes. Timothy Sams 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.
Which organization bills Medicare for Timothy Sams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Sams reassigns Medicare benefits to Psychological Advances In Coping Education Inc (Palm Desert, CA). The 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 Sams'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 Sams 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.
# Timothy Lee Sams, PHD · NPI 1912010885
Cognitive & Behavioral provider in Lake Forest, California. Individual provider, active in the CMS NPPES registry since August 16, 2006.
## Identity
- **NPI:** 1912010885 (Entity type: Individual)
- **Enumerated:** August 16, 2006
- **Primary specialty:** Psychologist - Cognitive & Behavioral · taxonomy 103TB0200X
- **State license:** PSY12149 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 23792 ROCKFIELD BLVD, STE 290, Lake Forest, CA 92630
- **Phone:** (949) 458-1073
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Psychological Advances In Coping Education Inc (NPI 1952318586, Palm Desert, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified WCP12149A (CA); Medicare UPIN R27465
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Source: [NPI Profile](https://npiprofile.com/npi/1912010885) · Data from the CMS NPPES public registry.