DR. TIMOTHY MARK ROBINSON (ED.D.) – Clinical Psychologist, NPI 1417153909

DR. TIMOTHY MARK ROBINSON (ED.D.) is a healthcare provider. based in Third lake, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials ED.D.. The NPI Number for DR. TIMOTHY MARK ROBINSON (ED.D.) is 1417153909

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY MARK ROBINSON (ED.D.)
NPI
1417153909
Phone
(847) 223-5673
Address
7 SUNSHINE AVE
Enumeration Date
22 June 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8473054949102
Graduation Year
1994 (32 years ago)
PAC ID
5395282503
Group Practice PAC ID
1557523552
Professional Enrollment ID
I20240806002707
Address ID
IL600307963GR1100XSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for DR. TIMOTHY MARK ROBINSON (ED.D.)

  • 7, Sunshine Avenue, Third Lake, Lake County, Illinois, 60030, United States

    THIRD LAKE, IL 600309006

    Phone: (847) 223-5673

    Mailing address matches the actual address.

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: 2024-08-06

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
I20240806002707IClinical PsychologistILTBD

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 60030)

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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: 1557523552View full group profile
NameSpecialtyState
Mental Health CounselorIL
Mental Health CounselorIL
-IL
-IL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical PsychologistIL
Mental Health CounselorIL
Mental Health CounselorIL
Clinical PsychologistIL

Reviews

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Frequently asked questions

Can I verify DR. TIMOTHY MARK ROBINSON (ED.D.) with an NPI only?
You can start verification with NPI 1417153909 for DR. TIMOTHY MARK ROBINSON (ED.D.), then check state licensing separately.
Can I rely on DR. TIMOTHY MARK ROBINSON (ED.D.) being an active provider?
As of the registry snapshot, DR. TIMOTHY MARK ROBINSON (ED.D.) is marked active.
What is DR. TIMOTHY MARK ROBINSON (ED.D.)'s primary classification?
Clinical Psychologist is the headline specialty for DR. TIMOTHY MARK ROBINSON (ED.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. TIMOTHY MARK ROBINSON (ED.D.) based?
DR. TIMOTHY MARK ROBINSON (ED.D.) is tied to Third Lake, Illinois in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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