Active NPI
Karyne B Wilner
- Clinical Psychologist
- Providence, RI
National Provider Identifier
1215207105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS00923
- Legal business name
- KARYNE B WILNER
- Practice address
- 182 Butler Ave
Providence, RI 02906-5317 - Phone
- (401) 316-7041
- Fax
- (401) 751-8997
- NPI assigned
- Jan 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karyne B Wilner, PSYD
- Title
- Director
- Phone
- (401) 316-7041
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS00923 | RI | Primary |
Addresses
Primary practice location
182 Butler Ave
Providence, RI 02906-5317
Mailing address
116 Gideon Lawton LN
Portsmouth, RI 02871-4049
Phone (401) 316-7041
Other names 1
- Integrated Psychological Services Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Philadelphia, PA
- NPI 1093752560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326067200000",
"number": "1215207105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 GIDEON LAWTON LN",
"city": "PORTSMOUTH",
"state": "RI",
"postal_code": "028714049",
"telephone_number": "401-316-7041",
"fax_number": "401-751-8997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 BUTLER AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065317",
"telephone_number": "401-316-7041",
"fax_number": "401-751-8997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KARYNE B WILNER",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-09",
"last_updated": "2012-01-09",
"status": "A",
"authorized_official_last_name": "WILNER",
"authorized_official_first_name": "KARYNE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "401-316-7041",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PS00923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Integrated Psychological Services Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.