Individual provider Active NPI

Edward John Wojniak Jr., PH.D.

  • Psychologist
  • Columbus, OH
National Provider Identifier
1285792077
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5218 Issued in OH
Practice address
3620 N. High Street
Suite 209
Columbus, OH 43214-3643
Phone
(614) 268-3939
Fax
(614) 269-3949
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5218 OH Primary

Addresses

Primary practice location

3620 N. High Street
Suite 209
Columbus, OH 43214-3643

Mailing address

3620 N. High Street
Suite 209
Columbus, OH 43214
Phone (614) 268-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040910000239 OH Practitioner - Clinical Psychologist 4486621489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4041 N High St
Suite 203E
Columbus, OH 43214-3253
Phone (614) 696-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5218OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Edward J Wojniak, Jr, Inc. Psychologist CurrentSince May 25, 2010 Accepting new patients

Locations

4041 N High St
Ste 203E
Columbus, OH 43214
Phone (614) 696-9900

3620 N High St
Ste 209
Columbus, OH 43214
Phone (614) 263-6272

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285792077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 N. HIGH STREET",
            "address_2": "SUITE 209",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43214",
            "telephone_number": "614-268-3939",
            "fax_number": "614-269-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 N. HIGH STREET",
            "address_2": "SUITE 209",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143643",
            "telephone_number": "614-268-3939",
            "fax_number": "614-269-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJNIAK",
        "first_name": "EDWARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.