STEPHEN M. TIMCHACK, PSYD, P.C.
NPI 1699034934
Psychologist - Clinical in Kingston, PA
About Stephen M. Timchack, Psyd, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHEN M. TIMCHACK, PSYD, P.C. (NPI 1699034934) is a healthcare organization registered as a clinical in Kingston, Pennsylvania and active in the NPI registry since May 2012. The organization lists Stephen M Timchack, Psychologist/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephen M. Timchack, Psyd, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Stephen M. Timchack, Psyd, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 M. Timchack, Psyd, P.C.'s NPI number?
The NPI number for Stephen M. Timchack, Psyd, P.C. is 1699034934. It was assigned to this organization in the NPPES registry on May 7, 2012.
Where is Stephen M. Timchack, Psyd, P.C. located?
Stephen M. Timchack, Psyd, P.C. is located at 480 Pierce St Suite 119, Kingston, PA 18704. The listed phone number is (570) 714-1981.
What is Stephen M. Timchack, Psyd, P.C.'s specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Stephen M. Timchack, Psyd, P.C. enrolled in Medicare?
Yes. Stephen M. Timchack, Psyd, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stephen M. Timchack, Psyd, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Stephen M. Timchack, Psyd, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Stephen M. Timchack, Psyd, P.C. was last updated on May 7, 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.
# Stephen M. Timchack, Psyd, P.c. · NPI 1699034934
Clinical organization in Kingston, Pennsylvania. Organization record, active in the CMS NPPES registry since May 7, 2012.
## Identity
- **NPI:** 1699034934 (Entity type: Organization)
- **Enumerated:** May 7, 2012
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Stephen Timchack, PSYCHOLOGIST/OWNER
## Practice location
- **Address:** 480 PIERCE ST, SUITE 119, Kingston, PA 18704-5512
- **Phone:** (570) 714-1981
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1699034934) · Data from the CMS NPPES public registry.