Active NPI
Alexandra Wille, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1124715263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 027402-01
- Practice address
- 3 Columbus Cir Ste 1430
New York, NY 10019-8722 - Phone
- (443) 717-1809
- NPI assigned
- Apr 19, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 027402-01 | NY | Primary |
Addresses
Primary practice location
3 Columbus Cir Ste 1430
New York, NY 10019-8722
Mailing address
575 W 181St St
New York, NY 10033-5002
Phone (443) 717-1809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027402-01 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1124715263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 W 181ST ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100335002",
"telephone_number": "443-717-1809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 COLUMBUS CIR STE 1430",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100198722",
"telephone_number": "443-717-1809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLE",
"first_name": "ALEXANDRA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-19",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "027402-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.