TIMOTHY PATRICK PAGANO, PhD, ABPP, MSCP — NPI 1881138410 (Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Prescribing (Medical) in EDWARDS AFB, CA)

CMS-1500 Box 24J / 33a • NPI

1881138410

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103TP0016X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Prescribing (Medical)

Box 32 Service Location & ZIP+4

412 MDG, 31 NIGHTINGALE RD, EDWARDS AFB, CA, 93523

Official NPPES Practice Location

Practice Phone & Referral Fax

(661) 277-5291

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1881138410 (TIMOTHY PATRICK PAGANO, PhD, ABPP, MSCP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1881138410` (NPI-1 Individual Practitioner)
Provider / Legal Name	TIMOTHY PATRICK PAGANO, PhD, ABPP, MSCP
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Prescribing (Medical) NUCC Code: `103TP0016X` (Psychologist, Prescribing (Medical))
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	412 MDG, 31 NIGHTINGALE RD, EDWARDS AFB, CA, 93523
Practice Telephone / Fax	Tel: (661) 277-5291
Administrative Mailing Address	412 MDG, EDWARDS AFB, CA, 93523
Enumeration & Last Sync	Enumerated: 2016-12-16 \| CMS Record Updated: 2025-12-22

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

412 MDG, 31 NIGHTINGALE RD, EDWARDS AFB, CA, 93523

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Plain-English Taxonomy & CMS Crosswalk (103TP0016X)

What Does Taxonomy Code 103TP0016X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TP0016X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Prescribing (Medical)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Prescribing (Medical) for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TIMOTHY PATRICK PAGANO, PhD, ABPP, MSCP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TB0200X` — Psychologist, Cognitive & Behavioral Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral	State: ID \| License: `5971567` \| Primary: Secondary
`103TP0016X` — Psychologist, Prescribing (Medical) Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Prescribing (Medical)	State: ID \| License: `5971567` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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TIMOTHY PATRICK PAGANO, PhD, ABPP, MSCP (NPI #1881138410)