Active NPI
Hillary M Wishnick, PHD
- Psychologist
- Mason, OH
National Provider Identifier
1043361884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5917
- Practice address
- 6400 Thornberry Court
Suite 620
Mason, OH 45040 - Phone
- (513) 237-2747
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5917 | OH | Primary |
Addresses
Primary practice location
6400 Thornberry Court
Suite 620
Mason, OH 45040
Mailing address
6400 Thornberry Court
Suite 620
Mason, OH 45040
Phone (513) 237-2747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 4, 2020 through Mar 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5917 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296777600000",
"number": "1043361884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 THORNBERRY COURT",
"address_2": "SUITE 620",
"city": "MASON",
"state": "OH",
"postal_code": "45040",
"telephone_number": "513-237-2747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 THORNBERRY COURT",
"address_2": "SUITE 620",
"city": "MASON",
"state": "OH",
"postal_code": "45040",
"telephone_number": "513-237-2747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISHNICK",
"first_name": "HILLARY",
"middle_name": "M",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2011-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "5917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.