Timothy O'connell, CATC is a
Case Manager/care Coordinator based in Riverside, California. Timothy O'connell is licensed to practice in California (license number 19609) and his current practice location is
10281 Kidd St, Riverside, California. He can be reached at his office (for appointments etc.) via phone at
(951) 715-5050.
NPI number for Timothy O'connell is 1972040061 and his current mailing address is 10281 Kidd St, Riverside, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972040061.
Healthcare Provider's Profile
| Full Name | Timothy O'connell |
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| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 10281 Kidd St, Riverside, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972040061
- Provider Enumeration Date: 01/26/2017
- Last Update Date: 12/31/2024
Medical Identifiers
Medical identifiers for Timothy O'connell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972040061 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2114485 (California) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 19609 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy O'connell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Timothy O'connell, CATC
10281 Kidd St,
Riverside, CA 92503-3469
Ph: (951) 715-5050 | Timothy O'connell, CATC
10281 Kidd St,
Riverside, CA 92503-3469
Ph: (951) 715-5050 |
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