Organization Active NPI

Karyne B Wilner

  • Clinical Psychologist
  • Providence, RI
National Provider Identifier
1215207105
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS00923 Issued in RI
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

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Dr. Karyne B Wilner, PSYDNPI 1093752560
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.