MR. TIMOTHY CLYDE DREBY (MFT) – Marriage & Family Therapist, NPI 1003103482

MR. TIMOTHY CLYDE DREBY (MFT) is a healthcare provider. based in El cerrito, California. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MFT. They hold a License No. 45563 (CA). The NPI Number for MR. TIMOTHY CLYDE DREBY (MFT) is 1003103482

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. TIMOTHY CLYDE DREBY (MFT)
NPI
1003103482
Phone
(510) 735-1358
Address
7306 GLADYS AVE
Enumeration Date
6 July 2011
Last Update Date
6 July 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5104374800
Graduation Year
1998 (28 years ago)
PAC ID
5698118693
Group Practice PAC ID
3779494521
Professional Enrollment ID
I20240207000265
Address ID
CA946021018OA1411XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

4,984 MARRIAGE AND FAMILY THERAPIST in CA

Provider Addresses for MR. TIMOTHY CLYDE DREBY (MFT)

  • 7306 GLADYS AVE

    EL CERRITO, CA 945302237

    Phone: (510) 735-1358

    Type: Mailing

  • 1211 EMBARCADERO

    SUITE 300

    OAKLAND, CA 946065119

    Phone: (510) 535-1409

    Fax: (510) 535-1414

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240207000265IMarriage And Family TherapistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94530)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779494521View full group profile
NameSpecialtyState
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
O P H T H A L M O L O G YCA
Nurse PractitionerCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O P H T H A L M O L O G YNY
Physician AssistantCA
Gastroenterology, Internal MedicineCA
A N E S T H E S I O L O G YNY

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. TIMOTHY CLYDE DREBY (MFT)?
MR. TIMOTHY CLYDE DREBY (MFT) — NPI 1003103482 — is the standard way to identify this listing.
Does CMS list MR. TIMOTHY CLYDE DREBY (MFT) as active?
Yes — MR. TIMOTHY CLYDE DREBY (MFT) is active in the NPI listing used on this page.
What healthcare role does MR. TIMOTHY CLYDE DREBY (MFT) hold?
Scheduling teams often label MR. TIMOTHY CLYDE DREBY (MFT) under Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for MR. TIMOTHY CLYDE DREBY (MFT)?
MR. TIMOTHY CLYDE DREBY (MFT)'s geographic hint is El Cerrito, California in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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