Individual provider Active NPI

Wayne S Swift, PHD

  • Psychologist
  • New York, NY
National Provider Identifier
1326192956
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
006462 Issued in NY
Practice address
311 E 72ND St
#1G
New York, NY 10021-4684
Phone
(212) 517-6942
Fax
(212) 517-6876
NPI assigned
Jan 22, 2007
Last updated
Aug 7, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 006462 NY Primary
Social Worker 104100000X 006462 NY

Addresses

Primary practice location

311 E 72ND St
#1G
New York, NY 10021-4684

Mailing address

311 E 72ND St
#1G
New York City, NY 10021
Phone (212) 517-6942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050519000101 NY Practitioner - Clinical Psychologist 5597706697 Practice locations: New York, NY; Valatie, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Valatie, NY 12184
Phone (518) 758-1981

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1326192956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E 72ND ST",
            "address_2": "#1G",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-517-6942",
            "fax_number": "212-517-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E 72ND ST",
            "address_2": "#1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214684",
            "telephone_number": "212-517-6942",
            "fax_number": "212-517-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIFT",
        "first_name": "WAYNE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "006462",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "006462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.