Dr Timothy T Wysocki, PHD - Psychologist in Jacksonville, FL

Dr Timothy T Wysocki, PHD is a Psychologist - Clinical Child & Adolescent based in Jacksonville, Florida. Dr Timothy T Wysocki is licensed to practice in Florida (license number PY4811) and his current practice location is 807 Childrens Way, Jacksonville, Florida. He can be reached at his office (for appointments etc.) via phone at (904) 390-3785.

NPI number for Dr Timothy T Wysocki is 1205847738 and his current mailing address is Po Box 191, Provider Enrollment Dept, Rockland, Delaware. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205847738.

Contact Information

Dr Timothy T Wysocki, PHD
807 Childrens Way,
Jacksonville, FL 32207-8426
(904) 390-3785
(904) 390-3512

Map and Direction




Healthcare Provider's Profile

Full NameDr Timothy T Wysocki
GenderMale
SpecialityPsychologist - Clinical Child & Adolescent
Location807 Childrens Way, Jacksonville, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205847738
  • Provider Enumeration Date: 08/10/2006
  • Last Update Date: 09/02/2011

Medical Identifiers

Medical identifiers for Dr Timothy T Wysocki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205847738NPI-NPPES
000546202AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY4811 (Florida)Secondary
103TC2200XPsychologist - Clinical Child & Adolescent PY4811 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Timothy T Wysocki is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Timothy T Wysocki, PHD
Po Box 191, Provider Enrollment Dept,
Rockland, DE 19732-0191

Ph: (302) 651-6212
Dr Timothy T Wysocki, PHD
807 Childrens Way,
Jacksonville, FL 32207-8426

Ph: (904) 390-3785

Reviews and Comments


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