DR. TIMOTHY JAMES WISNIEWSKI (NPI# 1154959963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154959963 |
Entity Type | Individual |
Full Name | DR. TIMOTHY JAMES WISNIEWSKI |
Credential | PHD |
Practice Address |
845 Central Ave Ste 1 Albany NY 12206-1514 |
Practice Telephone | 5187293953 |
Mailing Telephone | 5187293953 |
Enumeration Date | 2020-03-28 |
Last Update Date | 2020-03-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
017817 | NY | Behavioral Health & Social Service Providers |
N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
017817 | NY | Behavioral Health & Social Service Providers |
N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
017817 | NY | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
017817 | NY | Behavioral Health & Social Service Providers |
N | 103TF0000X |
Psychologist Specialization: Family |
017817 | NY | Behavioral Health & Social Service Providers |
Y | 103TF0200X |
Psychologist Specialization: Forensic |
017817 | NY | Behavioral Health & Social Service Providers |
N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
017817 | NY | Behavioral Health & Social Service Providers |
Street Address |
845 CENTRAL AVE STE 1 |
City | ALBANY |
State | NY |
Zip Code | 12206-1514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215559125 | New Paradigm Psychological Services | Clinic/Center | 845 Central Ave Ste 1, Albany, NY 12206-1514 | 2020-05-13 |
1528696317 | Amanda L Peltier | Counselor | 845 Central Ave Ste 1, Albany, NY 12206-1514 | 2020-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
Find all providers in zip 12206 |
Taxonomy Code | 103TF0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Forensic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871192708 | Katrina L Miller | Psychologist | 9712 80th St, Ozone Park, NY 11416-1909 | 2020-10-21 |
1508359589 | Mindful Path Psychology, P.C. | Psychologist | 10505 69th Ave Ofc 2, Forest Hills, NY 11375-3312 | 2018-06-13 |
1548750151 | Allison Jo Bell | Psychologist | 200 Katonah Ave Ste 16b, Katonah, NY 10536-2175 | 2018-05-18 |
1629585344 | Ruy Aranda | Psychologist | 6801 43rd Ave, Woodside, NY 11377-5154 | 2018-01-03 |
1104330448 | Melodie Foellmi | Psychologist | 175 Remsen St Ste 500, Brooklyn, NY 11201-4300 | 2017-11-22 |
1730507013 | Christopher Anthony Sbaratta | Psychologist | 160 5th Ave, 3rr, Brooklyn, NY 11217-3559 | 2014-04-02 |
1659500577 | Shiloh Consulting LLC | Psychologist | 566 7th Ave Fl 4, New York, NY 10018-1802 | 2009-07-13 |
1891839221 | Catherine Mary Mortiere | Psychologist | 307 E 105th St, #1s, New York, NY 10029-5015 | 2007-02-18 |
1003963240 | Alan Jay Klein | Psychologist | 19 Rowena Ln, East Northport, NY 11731-2614 | 2007-01-03 |
1447356712 | Forensic Psychology Associates, Inc. | Psychologist | 990 Westbury Rd, Suite 102, Westbury, NY 11590-5309 | 2006-09-15 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.