Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Stephen M Timchack, PSYD, BCBA-D

Individual provider Professional Counselor · NPI 1023281557

Dr. Stephen M Timchack, PSYD, BCBA-D is a Clinical Psychologist in Kingston, Pennsylvania. Qualified in 2008, 18 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
18
Licensed in
PA
In the registry since
2008
Specialties on file
5
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

480 Pierce St Ste 119
Kingston, PA 18704-5512
Phone: (570) 714-1981
Fax: (570) 714-1983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS016722 (PA)
Professional Counselor Taxonomy 101YP2500X · Licence PC002136 (PA)
Behavior Analyst Taxonomy 103K00000X · Licence 1-01-0675 (PA)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence PS016722 (PA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PS016722 (PA)

Record details

NPI number1023281557
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD , BCBA-D
Sole proprietorYes
NPI enumeratedApril 4, 2008
Last updated in NPPESMarch 27, 2012
Mailing address480 Pierce St, Suite 119, Kingston, PA 18704-5512

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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