Ashley Wasilewski, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3061075 Issued in ID

Practice address

330 Shoup Ave Ste 206
Idaho Falls, ID 83402-3650

Phone

(208) 715-7551

NPI assigned

Jul 30, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Starlight Psychological Services PLLC

  • Adult Mental Health Clinic/Center
  • Idaho Falls, ID
  • NPI 1467136523
  NPD Authorized official

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1508695362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SHOUP AVE STE 206",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023650",
            "telephone_number": "208-715-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SHOUP AVE STE 206",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023650",
            "telephone_number": "208-715-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASILEWSKI",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "3061075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Warnick
• Brandi S Warnke, LCSW
• Rebecca Sue Warnke, ATC
• Sarah Warren
• Elexa Wasden
• Kaylee Waters, PT, DPT
• Bruce James Watkins, M.D.
• Todd Chandler Watson, DDS
• Brandi Lynn Watt, DNP, APRN, NNP-BC
• Raymond Wayne, PTA

• Clinical Psychologist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.