Jonathan L. Wilson Treible, PH.D. ABPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0078691 Issued in NY

Practice address

719 Englewood Ave
Buffalo, NY 14223-2406

Phone

(716) 480-1947

Fax

(716) 464-4951

NPI assigned

Aug 4, 2006

Last updated

Dec 27, 2016By the provider in NPPES

Sex

Male

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

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

Specialty

Clinical Psychologist

Education

State University of New York at Buffalo School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alancatkinsonphdpsychologistpc

  • Clinical Psychologist
  • Williamsville, NY
  • NPI 1972547792
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1407864549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142230443",
            "telephone_number": "716-480-1997",
            "fax_number": "716-464-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 ENGLEWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142232406",
            "telephone_number": "716-480-1947",
            "fax_number": "716-464-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREIBLE",
        "first_name": "JONATHAN",
        "middle_name": "L. WILSON",
        "name_prefix": "Dr.",
        "credential": "PH.D. ABPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "0078691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Tredo
• Michelle Lynn Treece, CASE MANAGER
• Lynda Karen Maida Treger, M.A.
• Robert D. Treger, P.T.
• Jillian A Trehy, NP
• Steven Trenchard
• John Michael Trerice, RN
• Tri County Transportation, LLC
• Jacqueline L Trigilio, OTR
• Kathryn A Trillizio, CRNA

• Clinical Psychologist in Buffalo, NY
• Providers in Buffalo, 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 Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.