Timothy Martin Reisenauer, PH.D.
NPI 1407032063ActiveIndividual· Psychologist· Mill Creek, WA
Psychologist (PH.D.) in Mill Creek, Washington, licensed in WA, with an NPI issued in January 2008. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1407032063 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jan 14, 2008 |
| Last updated in NPPES | Jan 14, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 1287 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (WA) |
|---|
Education and affiliations
| Graduation year | 1987 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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