Cylie Wieck

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.019564 Issued in IL

Practice address

1410 Columbia Rd Apt 10F
Boston, MA 02127-4018

Phone

(402) 708-7825

NPI assigned

Aug 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Light on Anxiety, P.C.

  • Cognitive & Behavioral Psychologist
  • Chicago, IL
  • NPI 1619308087

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1245958727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 COLUMBIA RD APT 10F",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021274018",
            "telephone_number": "402-708-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 COLUMBIA RD APT 10F",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021274018",
            "telephone_number": "402-708-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECK",
        "first_name": "CYLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.019564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Page Widick, MD
• Claire Widmann
• Emily Katrina Wiecek, OD, PHD
• John M Wiecha, M.D.
• Andrew Christopher Wiechert, M.D.
• Amanda Wiederoder, OD
• Haylie Wiedmayer (Farr), DPT
• Torsten W Wiegand, MD
• Juliana Wiegman, DPT
• Abigail S Wieman, FNP

• Mental Health Counselor in Boston, MA
• Providers in Boston, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.