Wellqor Psychological Services of Wisconsin, S.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

WELLQOR PSYCHOLOGICAL SERVICES OF WISCONSIN, S.C.

Practice address

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

Phone

(844) 888-0355

Fax

(844) 222-4005

NPI assigned

May 15, 2017

Organization subpart

No

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

Authorized official

Name

Constance Lee Woythal, PSYD

Title

Owner

Phone

(516) 987-4200

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1194252742",
    "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"
        },
        {
            "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",
            "fax_number": "844-222-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLQOR PSYCHOLOGICAL SERVICES OF WISCONSIN, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "WOYTHAL",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-987-4200",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Weinstein
• Robert Raphael Weiss, MD
• Helaina Weissman
• Hannah R Wellbrock
• Wellcare Health Management, Inc.
• Wellqor Psychological Services, PC
• Melissa May Ann Wells, CF-SLP
• Sarah Wells, RN
• Christine Jeanine Wendel, OTR, CHT
• Karen Westerberg

• Psychologist in Melville, NY
• Providers in Melville, NY by specialty
• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.