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

Timothy William Dodd Sr.

Individual provider Adult Psychiatric/Mental Health Registered Nurse · NPI 1730678210

Timothy William Dodd Sr. is an Adult Psychiatric/Mental Health Registered Nurse in East Moriches, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
Specialties on file
2

Practice location Address checks out

10 Newport Beach Blvd
East Moriches, NY 11940-1566
Phone: (631) 761-2504
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 584536 (NY)
Adult Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0809X · Licence 584536 (NY)

Record details

NPI number1730678210
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 9, 2018
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024
Mailing address10 Newport Beach Blvd, East Moriches, NY 11940-1566