Wendy Olesker, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

004078-1 Issued in NY

Practice address

15 W 72ND St
1L
New York, NY 10023-3402

Phone

(212) 874-6320

Fax

(212) 362-3700

NPI assigned

Jun 18, 2014

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Jun 1, 2022 through Jun 1, 2028

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 and National Provider Directory roles.

• Wendy Olesker PH.D P.C.

  • Adolescent and Children Mental Health Clinic/Center
  • New York, NY
  • NPI 1073901260
  NPD (past) Authorized official

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1407260342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W 72ND ST",
            "address_2": "1L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233402",
            "telephone_number": "212-874-6320",
            "fax_number": "212-362-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W 72ND ST",
            "address_2": "1L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233402",
            "telephone_number": "212-874-6320",
            "fax_number": "212-362-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLESKER",
        "first_name": "WENDY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "004078-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kattia Olender, MD
• Susan Aileen Olender, M.D.
• Robe Zack Olanz MD Oles
• Tracey Olesh, M.S. CCC-SLP
• Katherine Jane Olesker, PSYD
• Spencer Aaron Olesky, MD
• Olenka Sophia Olesnycky, MA
• Darby Olex-Memoli, MD
• Yekta Olfatbahar
• Olga Shaposhnikov DDS PLLC

• 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 Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.