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

Timothy Isak Michaels

Individual provider Clinical Psychologist · NPI 1245896133

Timothy Isak Michaels is a Clinical Psychologist in Glen Oaks, New York. Qualified in 2020, 6 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2019
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Practice location Address checks out

7559 263rd St
Glen Oaks, NY 11004-1150
Phone: (917) 597-8264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 024498 (NY)

Record details

NPI number1245896133
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2019
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024
Mailing address7559 263rd St, Glen Oaks, NY 11004-1150

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Glen Oaks