Wellqor Psychological Services, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

WELLQOR PSYCHOLOGICAL SERVICES, PC

Practice address

135 Pinelawn Rd Ste 204N
Melville, NY 11747-3133

Phone

(844) 888-0355

NPI assigned

Jan 16, 2018

Last updated

Jun 8, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Nussbaum, PHD

Title

President

Phone

(844) 888-0355

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, TX, FL, MA, AZ, IL, MI, IN, KS, WI, GA, DC, NC13 enrollments

Enrollment records 13

Locations

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer L Bruce-McGoldrick, PSYD, BCBA-D

  • Clinical Psychologist
  • Tampa, FL
  • NPI 1861482820

  DC, IN, NC

  Medicare reassignment Care Compare group NPD
• Sarah J Erickson, PSY.D.

  • Clinical Psychologist
  • Springfield, MA
  • NPI 1598902348

  GA, MI, WI

  Medicare reassignment Care Compare group NPD
• Amanda J Smith, PSY.D.

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1508080318

  AZ, IL, KS, OH

  Medicare reassignment Care Compare group
• Erin Connell, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1780431619

  TX

  Medicare reassignment NPD
• Becky Grace Aronson

  • Mental Health Counselor
  • St Petersburg, FL
  • NPI 1376005496
  Medicare reassignment NPD
• Samuel Edward Balla, LISW-S

  • Clinical Social Worker
  • Delaware, OH
  • NPI 1851744403
  Medicare reassignment NPD
• Angelina Bartel, LPC

  • Professional Counselor
  • Greenville, WI
  • NPI 1962078956
  Medicare reassignment NPD
• Mary Farel Braden

  • Mental Health Counselor
  • Bedford, IN
  • NPI 1902346729
  Medicare reassignment NPD
• Heather Marie Brose, LCSW

  • Clinical Social Worker
  • Milwaukee, WI
  • NPI 1184079022
  Medicare reassignment NPD
• Candace Lynn Buckley, LCSW

  • Clinical Social Worker
  • Waukesha, WI
  • NPI 1871998070
  Medicare reassignment NPD
• Nadine R. Costantini, LISW

  • Clinical Social Worker
  • Mentor, OH
  • NPI 1194024265
  Medicare reassignment NPD
• Erin Renee Davis, PH.D.

  • Psychologist
  • Hilliard, OH
  • NPI 1922192699
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1063920841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PINELAWN RD STE 204N",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473133",
            "telephone_number": "844-888-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PINELAWN RD STE 204N",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473133",
            "telephone_number": "844-888-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLQOR PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-888-0355",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Raphael Weiss, MD
• Helaina Weissman
• Hannah R Wellbrock
• Wellcare Health Management, Inc.
• Wellqor Psychological Services of Wisconsin, S.C.
• Melissa May Ann Wells, CF-SLP
• Sarah Wells, RN
• Christine Jeanine Wendel, OTR, CHT
• Karen Westerberg
• Elizabeth Westinghouse, R.D., C.D.N.

• Clinical Psychologist in Melville, NY
• Providers in Melville, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.