Active NPI
Sharon Lynn Windwer, PSY.D.
- Clinical Psychologist
- Little Neck, NY
National Provider Identifier
1063577633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 010426
- Practice address
- 25517 Northern Blvd
Suite B-2
Little Neck, NY 11362-1453 - Phone
- (718) 423-6722
- Fax
- (718) 747-1240
- NPI assigned
- Dec 26, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 010426 | NY | Primary |
Addresses
Primary practice location
25517 Northern Blvd
Suite B-2
Little Neck, NY 11362-1453
Mailing address
25517 Northern Blvd
Suite B-2
Little Neck, NY 11362-1453
Phone (718) 423-6722
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110842 | Other | NY | MHN PROVIDER ID |
| 253245 | Other | NY | PHCS PROVIDER ID |
| 01456 | Other | NY | MDNY PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2019 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010426 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063577633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25517 NORTHERN BLVD",
"address_2": "SUITE B-2",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113621453",
"telephone_number": "718-423-6722",
"fax_number": "718-747-1240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25517 NORTHERN BLVD",
"address_2": "SUITE B-2",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113621453",
"telephone_number": "718-423-6722",
"fax_number": "718-747-1240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDWER",
"first_name": "SHARON",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "010426",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN PROVIDER ID",
"identifier": "110842",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS PROVIDER ID",
"identifier": "253245",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDNY PROVIDER ID",
"identifier": "01456",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.