Carrie L Wilkens, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

014881 Issued in NY

Practice address

276 5TH Ave RM 1101
New York, NY 10001-4544

Phone

(212) 683-3339

NPI assigned

Jul 26, 2018

Last updated

Jul 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 2, 2020 through Nov 2, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • Psychologist
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  • NPI 1619090636
  Authorized official Same address or phone
• Psychological Motivation and Change Group of Westchester PLLC

  dba Center for Motivation and Change Westchester

  • Clinical Psychologist
  • White Plains, NY
  • NPI 1982844585
  Authorized official Same address or phone
• CMC Berkshires LLC

  dba CMC:Berkshires

  • Substance Abuse Rehabilitation Facility
  • New Marlborough, MA
  • NPI 1588060370
  NPD (past)

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1225515711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STONE MANOR DR",
            "city": "NEW MARLBOROUGH",
            "state": "MA",
            "postal_code": "012309744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 5TH AVE RM 1101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014544",
            "telephone_number": "212-683-3339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Stone Manor Dr",
            "address_purpose": "LOCATION",
            "city": "New Marlborough",
            "state": "MA",
            "postal_code": "012309744",
            "country_code": "US",
            "telephone_number": "413-229-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKENS",
        "first_name": "CARRIE",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Wilk
• Marc Kevin Wilk, D.D.S.
• Natalia Wilk, DPT
• Sondra Ellen Wilk, PHD
• Marc Wilkenfeld, M.D.
• Christopher Michael Wilker, LMHC
• Casey Lauren Wilkerson, MD
• Timothy Antonia Wilkerson II, PSYD
• Alexandra Lange Wilkes, PT
• Allen A. Wilkes Jr., PH.D., CASAC

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.