Andrea Alison Wierzchowski

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

38877 Issued in TX

Practice address

6080 N Central Expy
Dallas, TX 75206-5202

Phone

(469) 646-0366

Fax

(469) 458-2096

NPI assigned

Aug 13, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Brainbridge Psychological and Behavioral Health

  • Clinical Neuropsychologist
  • Dallas, TX
  • NPI 1558162826
  NPD Authorized official
• One Rehab

  • Rehabilitation Clinic/Center
  • Richardson, TX
  • NPI 1952954240
  NPD
• Texas Scottish Rite Hospital for Crippled Children

  • Pediatric Orthopaedic Surgery Physician
  • Dallas, TX
  • NPI 1598188948
  NPD
• Texas Scottish Rite Hospital for Crippled Children

  • Special Hospital
  • Dallas, TX
  • NPI 1760628184
  NPD (past)

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1114573466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065202",
            "telephone_number": "469-646-0366",
            "fax_number": "469-458-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065202",
            "telephone_number": "469-646-0366",
            "fax_number": "469-458-2096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Gaylord Pkwy Ste 850",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750340248",
            "country_code": "US",
            "telephone_number": "469-857-2222",
            "fax_number": "469-857-2223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 Welborn St",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752193924",
            "country_code": "US",
            "telephone_number": "214-559-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 Dallas Pkwy",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750349580",
            "country_code": "US",
            "telephone_number": "469-515-7100",
            "fax_number": "469-515-7101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIERZCHOWSKI",
        "first_name": "ANDREA",
        "middle_name": "ALISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38877",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "38877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Wiederkehr, M.D.
• Aaron Lee Wiegmann, MD
• Phi Wiegn, MD
• Bianca Banek Wierck
• Dania A Wierzbicki, MD
• Christopher Wieser
• Wiesner ABA LLC
• Taylor Wiesner
• Maya Wiessman, M.D.
• Kristi Wiest

• Clinical Neuropsychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.