Beata Anna Wiktor, PSY.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS1417 Issued in ME

Practice address

6 Maine Street
Suite 1
Gray, ME 04039

Phone

(207) 657-8311

NPI assigned

Jan 5, 2010

Last updated

Mar 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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 ME

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

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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

• Beata a Wiktor, Inc

  • Psychologist
  • Gray, ME
  • NPI 1689064511
  Medicare reassignment NPD Authorized official
• Karla L Diffin, Inc

  • Psychologist
  • South Paris, ME
  • NPI 1679922306
  NPD (past)

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1528398104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2074",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "04211",
            "telephone_number": "207-657-8311",
            "fax_number": "207-221-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MAINE STREET",
            "address_2": "SUITE 1",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "04039",
            "telephone_number": "207-657-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKTOR",
        "first_name": "BEATA",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS1417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick A Van Mourik
• Vascular Access Service of Maine P.C.
• Jaime R. Vintinner, M.S., CCC-SLP
• Walgreen Eastern Co Inc (Walgreens #19789)
• Warm Heart Therapy LLC
• Nancy Wilson, REGISTERED NURSE
• Asa Woodman, LMFT
• Kristin Marie Yarrish, PHARM. D., M.B.A.

• Psychologist in Gray, ME
• Providers in Gray, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.