Timothy Reisenauer, PH.D.
NPI 1407032063 · Psychologist · Mill Creek, WA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Reisenauer, PH.D. is a Psychologist provider in Mill Creek, WA (NPI 1407032063).
Provider details
- NPI number
- 1407032063
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 1287 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-01-14
- Last updated
- 2008-01-14
Frequently asked questions
- What is Timothy Reisenauer's NPI number?
- Timothy Reisenauer's National Provider Identifier (NPI) is 1407032063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Reisenauer's specialty?
- Timothy Reisenauer is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Timothy Reisenauer located?
- Timothy Reisenauer's practice location on file with NPPES is 15418 Main St Unit 301, Mill Creek, WA 98012-9031.
- What is Timothy Reisenauer's phone number?
- The practice phone number listed in the NPPES registry for Timothy Reisenauer is (425) 385-2362.
- Does Timothy Reisenauer accept Medicare?
- Timothy Reisenauer is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Reisenauer's NPI active?
- Yes — Timothy Reisenauer's NPI (1407032063) is active in the NPPES registry as of the last update on 2008-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.