TIMOTHY J. JOVICK (PHD) – Clinical Psychologist, NPI 1174620793

TIMOTHY J. JOVICK (PHD) is a healthcare provider. based in Saint louis, Missouri. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PRY0037 (MO). The NPI Number for TIMOTHY J. JOVICK (PHD) is 1174620793

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY J. JOVICK (PHD)
NPI
1174620793
Phone
(314) 962-7788
Address
8772 BIG BEND BLVD
Enumeration Date
17 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3145619757
Graduation Year
1976 (50 years ago)
PAC ID
5698809531
Group Practice PAC ID
9032492111
Professional Enrollment ID
I20100814000135
Address ID
MO631415917SA967XXPKWY400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

451 CLINICAL PSYCHOLOGIST in MO

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Provider Addresses for TIMOTHY J. JOVICK (PHD)

  • 8772, Big Bend Boulevard, Webster Groves, Saint Louis County, Missouri, 63119, United States

    SAINT LOUIS, MO 631193730

    Phone: (314) 962-7788

    Fax: (314) 962-4158

    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: 2010-08-14

PECOS data refreshed: 2026-06-15

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
I20100814000135IClinical PsychologistMOTBD

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 63119)

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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: 9032492111View full group profile
NameSpecialtyState
-MO
Clinical PsychologistMO
Clinical Social WorkerMO
Clinical Social WorkerMO
Clinical Social WorkerMO
Clinical Social WorkerMO
Clinical PsychologistMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the 10-digit NPI for TIMOTHY J. JOVICK (PHD)?
TIMOTHY J. JOVICK (PHD) — NPI 1174620793 — is the standard way to identify this listing.
Is TIMOTHY J. JOVICK (PHD) still practicing?
TIMOTHY J. JOVICK (PHD) is currently listed as active in the public NPI registry.
What taxonomy line describes TIMOTHY J. JOVICK (PHD)?
For research purposes, treat TIMOTHY J. JOVICK (PHD) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Where is TIMOTHY J. JOVICK (PHD) based?
TIMOTHY J. JOVICK (PHD) is tied to Saint Louis, Missouri in the data we show; additional addresses may exist on the full record.
Is the information about TIMOTHY J. JOVICK (PHD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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