Active NPI
Bernard Charles Woychowski, PHD CLINICAL PSYCHOL
- Clinical Psychologist
- Rye, NY
National Provider Identifier
1528126281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0111401
- Practice address
- 44 Purchase Street
Rye, NY 10580 - Phone
- (914) 937-2842
- Fax
- (914) 939-2533
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0111401 | NY | Primary |
Addresses
Primary practice location
44 Purchase Street
Rye, NY 10580
Mailing address
40 Windsor Road
Rye Brook, NY 10573
Phone (914) 937-2842
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6802234 | Other | GHI | |
| 01695234 | Medicaid | NY | |
| 0203329 | Other | CIGNA | |
| 206140 | Other | MHN | |
| 081808 | Other | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0111401 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Network Services PC | Past | 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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1871507731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528126281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 WINDSOR ROAD",
"city": "RYE BROOK",
"state": "NY",
"postal_code": "10573",
"telephone_number": "914-937-2842",
"fax_number": "914-939-2533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 PURCHASE STREET",
"city": "RYE",
"state": "NY",
"postal_code": "10580",
"telephone_number": "914-937-2842",
"fax_number": "914-939-2533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOYCHOWSKI",
"first_name": "BERNARD",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PHD CLINICAL PSYCHOL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "0111401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6802234",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01695234",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0203329",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "206140",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "081808",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Rye, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.