Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TIMOTHY P ELLINGSTAD, PHD

Active

DR. TIMOTHY P ELLINGSTAD, PHD is a Psychologist healthcare provider located in BURLINGTON, Wisconsin. NPI 1396851101 is currently active in the NPPES registry. Verify at CMS.

Psychologist · BURLINGTON, WI

Registration Details

NPI Number: 1396851101
Provider Type: Individual
Gender: Male
NPI Issued: Aug 22, 2006 (19.93662598214 yrs)
Last Updated: Aug 23, 2019
License: 2452-057 (WI)

Practice Information

Address: 190 GARDNER AVE

#3

BURLINGTON, WI, 531052160
Browse WI providers · Browse ZIP 53105
Phone: 2627637766
Fax: 2627639326
Primary Specialty: Psychologist
103T00000X
Additional Specialty: Psychologist

Other Psychologist Providers in BURLINGTON, WI

Name	Credential	NPI
DR. DEAN EDWARD STOLLDORF	PSYCHOLOGIST	1194789032
DR. DAVID WILLIAM THOMPSON	PH.D.	1508896606
DR. PAULA K COOPER	PH.D.	1568502532
ROSITA M FERNANDEZ	—	1376062851
KATHRYN D MAROLT	PSYD	1265002810
MS. AMINDA HERNANDEZ	—	1518660117

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.