DR. TIMOTHY TRELL EATON PHD NPI 1083710800

NPI Information

  • NPI: 1083710800
  • Provider Name: DR. TIMOTHY TRELL EATON, PHD
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1705 4TH AVE NW
    MINOT, ND
    ZIP 58703
  • Phone: (701) 839-0474

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NPI Details

DR. Timothy Trell Eaton, PHD is a clinical psychologist in Minot, ND with 38 years of experience. The provider is 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. DR. Timothy Trell Eaton, PHD NPI is 1083710800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1705 4TH AVE NW
MINOT, ND
ZIP 58703-912
Phone: (701) 839-0474
Fax: (701) 839-0713

The NPI 1083710800 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 45 minutes (HCPCS:90834)
  • Administration of psychological or neuropsychological test by technician, each additional 30 minutes (HCPCS:96139)
  • Administration of psychological or neuropsychological test by technician, first 30 minutes (HCPCS:96138)
  • Evaluation of psychological test, first hour (HCPCS:96130)
  • Psychiatric diagnostic evaluation (HCPCS:90791)
  • Evaluation of psychological test, each additional hour (HCPCS:96131)

The enumeration date for this NPI number is 9/16/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical190NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
116943MEDICAIDNORTH DAKOTA
2N5297MEDICARE ID-TYPE UNSPECIFIEDNORTH DAKOTA
35297OTHERNORTH DAKOTABLUE CROSS BLUE SHIELD
4R02243MEDICARE UPINNORTH DAKOTA
590688OTHERNORTH DAKOTASS DISABILITY DETERMINATI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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