Individual provider Active NPI

Rion Barrett Kweller, PH.D.

  • Clinical Psychologist
  • Williamsville, NY
National Provider Identifier
1447248026
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
009373 Issued in NY
Practice address
5500 Main St
Suite 308
Williamsville, NY 14221-6755
Phone
(716) 634-1184
Fax
(716) 634-3207
NPI assigned
Oct 8, 2005
Last updated
Sep 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 009373 NY
Clinical Psychologist 103TC0700X 009373 NY Primary

Addresses

Primary practice location

5500 Main St
Suite 308
Williamsville, NY 14221-6755

Mailing address

5500 Main St
Suite 308
Williamsville, NY 14221-6755

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
I20111029000018 NY Practitioner - Clinical Psychologist 1951574409 Practice locations: Williamsville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5500 Main St
Suite 308
Williamsville, NY 14221-6737
Phone (716) 634-1184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009373NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Watson Psychological Services, PLLC Clinical PastSince Feb 12, 2017 Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1128729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1447248026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MAIN ST",
            "address_2": "SUITE 308",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MAIN ST",
            "address_2": "SUITE 308",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216755",
            "telephone_number": "716-634-1184",
            "fax_number": "716-634-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWELLER",
        "first_name": "RION",
        "middle_name": "BARRETT",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-08",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "009373",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.