DR. TIMOTHY JAMES WISNIEWSKI PHD NPI 1154959963

NPI Information

NPI: 1154959963
Provider Name: DR. TIMOTHY JAMES WISNIEWSKI, PHD
Classification: Psychologist - 103TF0200X
Entity Type: Individual

Specialization: Forensic

PECOS Registration: Yes

Address:
845 CENTRAL AVE STE 1
ALBANY, NY
ZIP 12206
Phone: (518) 729-3953
Get Directions

DR. Timothy James Wisniewski, PHD is a forensic psychologist in Albany, NY with 18 years of experience. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. DR. Timothy James Wisniewski, PHD NPI is 1154959963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

845 CENTRAL AVE STE 1
ALBANY, NY
ZIP 12206-514
Phone: (518) 729-3953

The NPI 1154959963 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/28/2020 and was last updated on 3/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	017817	NEW YORK	No
2	103TA0700X	Psychologist	Adult Development & Aging	017817	NEW YORK	No
3	103TB0200X	Psychologist	Cognitive & Behavioral	017817	NEW YORK	No
4	103TC0700X	Psychologist	Clinical	017817	NEW YORK	No
5	103TF0000X	Psychologist	Family	017817	NEW YORK	No
6	103TP2701X	Psychologist	Group Psychotherapy	017817	NEW YORK	No
7	103TF0200X	Psychologist	Forensic	017817	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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