Karyne Beth Wilner, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS0045841L Issued in PA

Practice address

1601 Walnut Street
Suite 1017 Medical Arts BLDG
Philadelphia, PA 19102

Phone

(215) 665-0705

Fax

(401) 751-8997

NPI assigned

Jun 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Karen Beth Miller Goodman Former name

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Philadelphia College of Osteopathic Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Karyne B Wilner

  • Clinical Psychologist
  • Providence, RI
  • NPI 1215207105
  NPD (past) Authorized official
• The Men's Resource Center

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1730292277
  NPD (past)
• East Bay Psychological Services LLC

  • Clinical Psychologist
  • Newport, RI
  • NPI 1790662732
  NPD (past)
• Hope Wellness Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newport, RI
  • NPI 1033800230
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093752560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 EMELINE STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02906",
            "telephone_number": "401-274-3512",
            "fax_number": "401-751-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WALNUT STREET",
            "address_2": "SUITE 1017 MEDICAL ARTS BLDG",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-665-0705",
            "fax_number": "401-751-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILNER",
        "first_name": "KARYNE",
        "middle_name": "BETH",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS0045841L",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS00923",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "MILLER GOODMAN",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mackenzie Jeanne Wills
• Kaitlyn Marie Willwerth
• Rebekah Mull Wilmes, CRNP
• Wilminata LLC
• Lia Wilmoth
• August Wilon, LCSW
• Wilson and Gray Home Care Services LLC
• Elisabeth Wilson Morello, LCSW
• Sherry Wilson-Bey
• Cristhi Wilson-Brown

• Clinical Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Psychologist in Pennsylvania

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.