STEPHEN M. TIMCHACK, PSYD, P.C. (NPI# 1699034934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699034934 |
| Entity Type | Organization |
| Organization Name | STEPHEN M. TIMCHACK, PSYD, P.C. |
| Practice Address |
480 Pierce St Suite 119 Kingston PA 18704-5512 |
| Practice Telephone | 5707141981 |
| Mailing Telephone | 5707141981 |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |
| Authorized Official Name | DR. STEPHEN M TIMCHACK (PSYCHOLOGIST/OWNER) |
| Authorized Official Telephone | 5707141981 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS016722 | PA | Behavioral Health & Social Service Providers |
| Street Address |
480 PIERCE ST SUITE 119 |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-5512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467451591 | Paul Thomas Taren | Psychologist | 480 Pierce St, Suite 115, Kingston, PA 18704-5512 | 2005-07-20 |
| 1649881665 | Jamie Judge | Social Worker | 480 Pierce St, Kingston, PA 18704-5512 | 2020-08-13 |
| 1275981573 | Wyoming Valley Alcohol and Drug Services Inc | Counselor | 480 Pierce St, 316-317, Kingston, PA 18704-5512 | 2016-05-26 |
| 1174971527 | Griswold International, LLC | In Home Supportive Care | 480 Pierce St, Kingston, PA 18704-5512 | 2016-05-26 |
| 1891036117 | Matrix Wound Supply | Durable Medical Equipment & Medical Supplies | 480 Pierce St, Suite 101, Kingston, PA 18704-5512 | 2013-03-12 |
| 1144578758 | Diana Cuello | Psychologist | 480 Pierce St, Suite 305, Kingston, PA 18704-5512 | 2012-08-29 |
| 1508111881 | Debra A Pavlico | Counselor | 480 Pierce St, New Bridge Center, Suite 206, Kingston, PA 18704-5512 | 2012-07-23 |
| 1467723866 | Blaum Breast Care Specialist LLC | Surgery | 480 Pierce St, New Bridge Center, Suite #312-314, Kingston, PA 18704-5512 | 2012-01-18 |
| 1699912691 | Abby Russin, Ph.d., LLC | Psychologist | 480 Pierce St, Suite 119, Kingston, PA 18704-5756 | 2009-01-13 |
| 1023281557 | Stephen M Timchack | Counselor | 480 Pierce St, Suite 119, Kingston, PA 18704-5512 | 2008-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104390525 | Boodah, Inc | Psychologist | 161 Summer St Ste 5, Kingston, MA 02364-1275 | 2019-01-18 |
| 1275978934 | Mid Hudson Psychological Services Pllc | Psychologist | 54 Lucas Ave, Kingston, NY 12401-3710 | 2013-05-07 |
| 1699939397 | Andrea K Henry | Psychologist | 45 Birch St, 20f, Kingston, NY 12401-1000 | 2008-07-11 |
| 1730376849 | Jennifer Lee | Psychologist | 14 Pearl St, Kingston, NY 12401-0522 | 2007-10-02 |
| 1811191414 | Theresa Keane | Psychologist | 185 Green St, Suite 2, Kingston, NY 12401-3716 | 2007-06-14 |
| 1639392327 | Robert Nicholson Eckardt Jr. | Psychologist | 4446 Rt 27, Kingston, NJ 08528 | 2007-04-11 |
| 1902969504 | Wilson Ellis Meaders | Psychologist | 93 Wall St, Pine Street Counseling Center, Kingston, NY 12401 | 2006-12-18 |
| 1700978277 | Dale Edward Vangaasbeek | Psychologist | 227 Linderman Ave, Kingston, NY 12401-5343 | 2006-09-29 |
| 1083724686 | Kate Maria Dvorkin | Psychologist | 291 Wall St Ste 2a, Kingston, NY 12401-3849 | 2006-08-30 |
| 1134164072 | Safieh Ghods-kash | Psychologist | 139 Cornell St, Kingston, NY 12401-3633 | 2006-06-17 |
| Find all providers in KINGSTON | ||||
Please comment or provide details below to improve the information on STEPHEN M. TIMCHACK, PSYD, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.