DR. TIMOTHY P ELLINGSTAD (PHD) – Psychologist, NPI 1396851101

Psychologist

DR. TIMOTHY P ELLINGSTAD (PHD) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in Psychologist. They hold the professional credentials PHD. They hold a License No. 2452-057 (WI). The NPI Number for DR. TIMOTHY P ELLINGSTAD (PHD) is 1396851101

Main info

Male

25 Years Of Experience

Accepts Medicare Assignment

Name

DR. TIMOTHY P ELLINGSTAD (PHD)

NPI

1396851101

Phone

(414) 647-6326

Address

3301 W FOREST HOME AVE

Enumeration Date

22 August 2006

Last Update Date

23 August 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2627678000

Graduation Year

2001 (25 years ago)

PAC ID

9830083666

Group Practice PAC ID

6709794258

Professional Enrollment ID

I20040211001095

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience57

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. TIMOTHY P ELLINGSTAD (PHD)

3301,3305, West Forest Home Avenue, Layton Park, Milwaukee, Milwaukee County, Wisconsin, 53215, United States
MILWAUKEE, WI 532152843
Phone: (414) 647-6326
Fax: (414) 671-8860
Type: Mailing
190, Gardner Avenue, Burlington, Racine County, Wisconsin, 53105, United States
#3
BURLINGTON, WI 531052160
Phone: (262) 763-7766
Fax: (262) 763-9326
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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 53215)

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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: 6709794258View full group profile

Name	Specialty	State
MR. TIMOTHY E HAZARD (FNP)	Nurse Practitioner	WI
ABDULREHMAN SIDDIQUI (MB BCH BAO)	Family Practice	WI
RICHARD COMPTON II KURTZ (MD)	Family Practice	IL
SORYAL A SORYAL (M.D)	Geriatric Medicine, Internal Medicine	WI
MRS. JILL MARIE GOLDSWORTHY (LCSW)	-	WI
DR. NOEL K GARCHITORENA (MD)	-	WI
MR. DENNIS J GARVIN (APNP)	-	IL
DR. CHARLENE M KARLS (DO)	Family Practice	WI
MRS. NANDITA BATCHRA (MD)	-	OH
MR. NEIL A MASTERS (P.T.)	-	WI

Reviews

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Frequently asked questions

What number should I use to identify DR. TIMOTHY P ELLINGSTAD (PHD) for billing?

Administrative and clinical systems typically use NPI 1396851101 for DR. TIMOTHY P ELLINGSTAD (PHD).

Should I treat DR. TIMOTHY P ELLINGSTAD (PHD) as an active provider?

Patients and plans typically see DR. TIMOTHY P ELLINGSTAD (PHD) as active in the national extract.

What services align with DR. TIMOTHY P ELLINGSTAD (PHD)'s listing?

DR. TIMOTHY P ELLINGSTAD (PHD)'s public classification highlights Psychologist. Clinical services aligned with this taxonomy classification.

What city is tied to DR. TIMOTHY P ELLINGSTAD (PHD)?

The directory associates DR. TIMOTHY P ELLINGSTAD (PHD) with Milwaukee, Wisconsin. Check all listed addresses for suites or satellite offices.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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