DR. STEPHEN M TIMCHACK PSYD, BCBA-D
NPI 1023281557
Psychologist - Clinical in Kingston, PA

Q: What is Stephen Timchack's NPI number?

The NPI number for Stephen Timchack is 1023281557. It was assigned to this individual provider in the NPPES registry on April 4, 2008.

Q: What is Stephen Timchack's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Timchack was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 04, 2008PECOS EnrolledAccepts Medicare Assignment

480 PIERCE ST, SUITE 119, KINGSTON, PA 18704(570) 714-1981(570) 714-1983 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Stephen M Timchack Psyd, Bcba-d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHEN M TIMCHACK PSYD, BCBA-D (NPI 1023281557) is an individual clinical provider in Kingston, Pennsylvania, licensed in Pennsylvania (PS016722) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1023281557

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. STEPHEN M TIMCHACKCredential: PSYD, BCBA-D

Location Address480 PIERCE ST, SUITE 119Kingston, PA 18704-5512

Mailing Address480 Pierce St, Suite 119Kingston, PA 18704-5512 · (570) 714-1981 · Fax (570) 714-1983

Phone(570) 714-1981

Fax(570) 714-1983

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateApril 4, 2008

Last NPPES UpdateMarch 27, 2012

✔ NPI 1023281557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PA · PS016722

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License PC002136 (PA)

Also ListedBehavior AnalystTaxonomy 103K00000X · License 1-01-0675 (PA)

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PS016722 (PA)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PS016722 (PA)

480 PIERCE ST, Kingston, PA 18704

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen M Timchack Psyd, Bcba-d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769646801

PECOS Enrollment IDI20120621000127

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.87 typical visit price

range $54.64 – $166.87

Typical copayment $41.71 (range $13.66 – $41.71)

Most-billed visit code 99205

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN KLEMER GUMIENNY LCSW C

Social Worker (Clinical)

480 PIERCE ST, #305
KINGSTON, PA 18704

Luzerne County (410) 991-2077

DIANA CUELLO PH.D

Psychologist (Clinical)

480 PIERCE ST, SUITE 305
KINGSTON, PA 18704

Luzerne County (570) 437-0558

KELSEY MARIE BANFIELD RDN

Dietitian, Registered

480 PIERCE ST
KINGSTON, PA 18704

Luzerne County (570) 815-0462

GRISWOLD INTERNATIONAL, LLC

In Home Supportive Care

480 PIERCE ST
KINGSTON, PA 18704

Luzerne County (570) 338-4060

STEPHANIE LYNCH M.S, CRC

Counselor

480 PIERCE ST
KINGSTON, PA 18704

Luzerne County (570) 313-5618

WYOMING VALLEY ALCOHOL AND DRUG SERVICES INC

Counselor (Addiction (Substance Use Disorder))

480 PIERCE ST, 316-317
KINGSTON, PA 18704

Luzerne County (570) 820-8888

DR. PAUL THOMAS TAREN PH.D.

Psychologist (Clinical)

480 PIERCE ST, SUITE 115
KINGSTON, PA 18704

Luzerne County (570) 718-1740

BLAUM BREAST CARE SPECIALIST LLC

Surgery

480 PIERCE ST, NEW BRIDGE CENTER, SUITE #312-314
KINGSTON, PA 18704

Luzerne County (570) 714-3911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Timchack's NPI number?

The NPI number for Stephen Timchack is 1023281557. It was assigned to this individual provider in the NPPES registry on April 4, 2008.

Where is Stephen Timchack located?

Stephen Timchack practices at 480 Pierce St Suite 119, Kingston, PA 18704. The listed phone number is (570) 714-1981.

What is Stephen Timchack's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Stephen Timchack enrolled in Medicare?

Yes. Stephen Timchack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stephen Timchack was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.