| Timothy A. Onkka, Ph.d., P.c. | |
|
150 W Angela Blvd South Bend IN 46617-1101 | |
| (574) 232-5237 | |
| (574) 232-5386 |
| Full Name | Timothy A. Onkka, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 150 W Angela Blvd, South Bend, Indiana |
| Authorized Official Name and Position | Timothy Allan Onkka (PRESIDENT) |
| Authorized Official Contact | 5742325237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy A. Onkka, Ph.d., P.c. 150 W Angela Blvd South Bend IN 46617-1101 Ph: (574) 232-5237 | Timothy A. Onkka, Ph.d., P.c. 150 W Angela Blvd South Bend IN 46617-1101 Ph: (574) 232-5237 |
| NPI Number | 1356520977 |
|---|---|
| Provider Enumeration Date | 10/31/2007 |
| Last Update Date | 03/13/2009 |
| Medicare PECOS PAC ID | 2961423397 |
|---|---|
| Medicare Enrollment ID | O20090521000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356520977 | NPI | - | NPPES |
| 100091040 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20040221A (Indiana) | Primary |
| Provider Name | Timothy A Onkka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891882510 PECOS PAC ID: 8224059654 Enrollment ID: I20090521000039 |
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