Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194094045 Individual Practitioner Male Practitioner

Dr. Timothy Richard Moore , PhD, LP, BCBA-D

Psychologist • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Moore, PhD, LP, BCBA-D is a registered healthcare professional specializing in Psychologist in Minneapolis, MN. Practice services are available at 3333 UNIVERSITY AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3333 University Ave Se

Minneapolis, MN 554143325

Telephone 6123319413
Fax 6127285301
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
352 Specialists

Practicing in Minneapolis, MN (1833 Statewide)

Telehealth Adoption Rate
12.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-10
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN 5453

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Hannah Martin

Behavior Technician

NPI 1003460023
Alyssa Cassiere

Behavior Technician

NPI 1003474701
Lydia Shull

Behavior Technician

NPI 1003485467
Miske Jama

Behavior Technician

NPI 1003522368
Chloe Sargent

Behavior Technician

NPI 1003555905
Matthew Powell

Behavior Technician

NPI 1003568601

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address July 10, 2025

Registered at 2025 E RIVER RD, MINNEAPOLIS, MN 554143604 (Tel: 6126240722)

👤
Provider Name / Credentials Updated July 10, 2025

Recorded as TIMOTHY MOORE, PH.D., LP, BCBA-D

📍
Updated Practice Location April 30, 2018

Registered at 3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 554143325 (Tel: 6123319413)

📍
Updated Business Mailing Address April 30, 2018

Registered at 3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 554143325 (Tel: 6123319413)

NPI Profile Active December 22, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2011

Registered at 7010 HIGHWAY 7, ST LOUIS PARK, MN 554264223 (Tel: 9528140207)

📍
Updated Business Mailing Address December 22, 2011

Registered at 7010 HIGHWAY 7, ST LOUIS PARK, MN 554264223 (Tel: 9528140207)

👤
Provider Name / Credentials Updated December 22, 2011

Recorded as TIMOTHY MOORE, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2011

Psychologist (License #5453 in MN)

🟢
Initial NPI Registration & Enumeration December 22, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194094045
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2011
Last Update: July 10, 2025
Sole Proprietor: No

Mailing Address

2025 E River Rd

Minneapolis, MN 554143604

Phone: 6126240722

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.