Peter F Wigg PSYD Psychologist PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

016702 Issued in NY

Legal business name

PETER F WIGG PSYD PSYCHOLOGIST PC

Practice address

810 E Main St
Riverhead, NY 11901-2563

Phone

(631) 365-5241

Fax

(631) 208-8555

NPI assigned

Jan 5, 2018

Organization subpart

No

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

Authorized official

Name

Peter F Wigg, PSY DNPI 1699852079

Title

Psychologist

Phone

(631) 365-5241

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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

• Peter Wigg, PSY. D.

  • Clinical Psychologist
  • Port Jefferson Station, NY
  • NPI 1699852079
  Medicare reassignment Authorized official
• Malcolm Dankner, CSW

  • Clinical Social Worker
  • Riverhead, NY
  • NPI 1457574923
  NPD (past)
• Donna Kramer, LCSW-R

  • Clinical Social Worker
  • Riverhead, NY
  • NPI 1548213747
  NPD (past)
• Bonnie McCluskey, PH.D

  • Clinical Psychologist
  • Yaphank, NY
  • NPI 1861410508
  NPD (past)

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1225545700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 393",
            "city": "EASTPORT",
            "state": "NY",
            "postal_code": "119410393",
            "telephone_number": "631-365-5241",
            "fax_number": "631-208-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012563",
            "telephone_number": "631-365-5241",
            "fax_number": "631-208-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER F WIGG PSYD PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "WIGG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "631-365-5241",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Peragallo
• Katherine Perdomo
• Andrea Elizabeth Perez, LPN
• Jennifer Peros, FNP
• Andrew Eli Persits, M.D.
• Peter G Sultan MD PC
• Peter Kilfoil
• Melissa Peters, L.AC.
• Judith Marie Pierce, M.S.C.C.C-A
• Pilgrim Psychiatric Center

• Clinical Psychologist in Riverhead, NY
• Providers in Riverhead, 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 Jan 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.