Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Timothy Martin Reisenauer, PHD

Individual provider Psychologist · NPI 1407032063

Dr. Timothy Martin Reisenauer, PHD is a Clinical Psychologist in Mill Creek, Washington. Qualified in 1987, 39 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
39
Licensed in
WA
In the registry since
2008
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

15418 Main St Unit 301
Mill Creek, WA 98012-9031
Phone: (425) 385-2362
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 1287 (WA)

Record details

NPI number1407032063
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 14, 2008
Last updated in NPPESJanuary 14, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mill Creek