DR. TIMOTHY T. WYSOCKI PHD
NPI 1205847738
Psychologist - Clinical Child & Adolescent in Jacksonville, FL

Q: What is Timothy Wysocki's NPI number?

The NPI number for Timothy Wysocki is 1205847738. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Q: What is Timothy Wysocki's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Wysocki was last updated on September 2, 2011. 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 August 10, 2006

807 CHILDRENS WAY, JACKSONVILLE, FL 32207(904) 390-3785(904) 390-3512 Get Directions Write a Review

NPPES record last updated: September 2, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Timothy T. Wysocki Phd NPPES

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

DR. TIMOTHY T. WYSOCKI PHD (NPI 1205847738) is an individual clinical child & adolescent provider in Jacksonville, Florida, licensed in Florida (PY4811) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1205847738

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. TIMOTHY T. WYSOCKICredential: PHD

Location Address807 CHILDRENS WAYJacksonville, FL 32207-8426

Mailing AddressPo Box 191, Provider Enrollment DeptRockland, DE 19732-0191 · (302) 651-6212 · Fax (302) 651-4945

Phone(904) 390-3785

Fax(904) 390-3512

Sole ProprietorNo

Enumeration DateAugust 10, 2006

Last NPPES UpdateSeptember 2, 2011

✔ NPI 1205847738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in FL · PY4811

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY4811 (FL)

807 CHILDRENS WAY, Jacksonville, FL 32207

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Other Identifiers 2

Medicare PIN59409Z

Medicaid000546202AGA

Other Providers at the Same Location NPPES 20

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

MR. HUGH E. GRIFFENKRANZ PA-C

Physician Assistant

807 CHILDRENS WAY
JACKSONVILLE, FL 32207

Duval County (904) 390-3737

JACQUELINE M NOE

Physician Assistant

807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207

Duval County (904) 697-3600

ERIC P. SHERLIN R.PH

Pharmacist

807 CHILDRENS WAY
JACKSONVILLE, FL 32207

Duval County (904) 390-3601

KELLY MARIE SUMMERS ARNP

Nurse Practitioner

807 CHILDRENS WAY
JACKSONVILLE, FL 32207

Duval County (904) 697-3600

ROBERT C SPRECHER MD

Otolaryngology (Pediatric Otolaryngology)

807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207

Duval County (904) 697-3694

DR. DOREEN RADJENOVIC ARNP

Nurse Practitioner

807 CHILDRENS WAY
JACKSONVILLE, FL 32207

Duval County (904) 390-3759

GRACE ELIZABETH ALLEMAN SLP

Speech-Language Pathologist

807 CHILDRENS WAY
JACKSONVILLE, FL 32207

Duval County (907) 697-3600

THE NEMOURS FOUNDATION

Pharmacy (Community/Retail Pharmacy)

807 CHILDRENS WAY
JACKSONVILLE, FL 32207

Duval County (904) 697-4000

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 Timothy Wysocki's NPI number?

The NPI number for Timothy Wysocki is 1205847738. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Timothy Wysocki located?

Timothy Wysocki practices at 807 Childrens Way, Jacksonville, FL 32207. The listed phone number is (904) 390-3785.

What is Timothy Wysocki's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Timothy Wysocki was last updated on September 2, 2011. 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.