Physician Compare National (NPI:1225175136)

HEALTHCARE PROVIDER: TIMOTHY A LINES PHD HSPP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1225175136
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8022104223
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20141205001463
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LINES
	Individual professional last name
Provider First Name	TIMOTHY
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	5799755864
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	513
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	355 W 16TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	2800 IU HEALTH PHYSICIANS PSYCHIATRY
	Group Practice or individual's line 2 address
City	INDIANAPOLIS
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	462022279
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3179637300
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y