DR. TIMOTHY BRIAN EAGAN (PSY.D.) – Psychologist, NPI 1619319944

DR. TIMOTHY BRIAN EAGAN (PSY.D.) is a healthcare provider. based in Lake worth, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. PY8785 (FL). The NPI Number for DR. TIMOTHY BRIAN EAGAN (PSY.D.) is 1619319944

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY BRIAN EAGAN (PSY.D.)
NPI
1619319944
Phone
(630) 212-8465
Address
7477 VIA LURIA
Enumeration Date
29 July 2013
Last Update Date
18 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9417132231
Graduation Year
2011 (15 years ago)
PAC ID
6608001243
Group Practice PAC ID
7214847995
Professional Enrollment ID
I20131106001574
Address ID
FL342198410PA12271NXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for DR. TIMOTHY BRIAN EAGAN (PSY.D.)

  • 7477 VIA LURIA

    LAKE WORTH, FL 334675225

    Phone: (630) 212-8465

    Type: Mailing

  • 8461 LAKE WORTH RD STE 461

    LAKE WORTH, FL 334672474

    Phone: (561) 223-4111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131106001574IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33467)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214847995View full group profile
NameSpecialtyState
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
-FL
Nurse PractitionerFL
-TN
Clinical Social WorkerWV
Cardiovascular Disease (Cardiology)FL

Reviews

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Frequently asked questions

How do I look up DR. TIMOTHY BRIAN EAGAN (PSY.D.) by NPI?
Use NPI 1619319944 when you need to reference DR. TIMOTHY BRIAN EAGAN (PSY.D.) in forms, claims, or directories.
Does this profile mean DR. TIMOTHY BRIAN EAGAN (PSY.D.) is currently active?
Yes — DR. TIMOTHY BRIAN EAGAN (PSY.D.) appears active in the national provider directory.
What kind of provider is DR. TIMOTHY BRIAN EAGAN (PSY.D.)?
The page reflects Psychologist for DR. TIMOTHY BRIAN EAGAN (PSY.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. TIMOTHY BRIAN EAGAN (PSY.D.)?
The page summarizes Lake Worth, Florida for DR. TIMOTHY BRIAN EAGAN (PSY.D.); expand the address list for detail.
Is DR. TIMOTHY BRIAN EAGAN (PSY.D.) a real provider?
This page reflects official NPPES data for NPI 1619319944. Always confirm identity and privileges with the practice and licensing boards.

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