DR. TIMOTHY JAMES LEGG (PHD, PSYD, CRNP) – Clinical Psychologist, NPI 1063427417
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
Provider Addresses for DR. TIMOTHY JAMES LEGG (PHD, PSYD, CRNP)
421 S STATE ST
CLARKS SUMMIT, PA 184111684
Phone: (570) 682-5777
Fax: (570) 284-3078
Type: Mailing
Hospice of The Sacred Heart, 340, Montage Mountain Road, Glenmaura, Moosic, Lackawanna County, Pennsylvania, 18507, United States
MOOSIC, PA 185071782
Phone: (570) 346-3686
Fax: (570) 558-6838
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2021-12-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120423000395 | I | Nurse Practitioner | PA | TBD |
| I20211221000205 | I | Clinical Psychologist | PA | TBD |
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.
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 18411)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| P S Y C H I A T R Y | PA | |
| - | PA | |
| Clinical Social Worker | PA | |
| P S Y C H I A T R Y | PA | |
| Clinical Social Worker | PA | |
| Mental Health Counselor | PA | |
| - | PA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.