Active NPI
Gretchen Herbert Wilber, PSY.D.
- Clinical Psychologist
- Albany, NY
National Provider Identifier
1538469952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 018991
- Practice address
- 5 Pine West Plaza
Suite 511
Albany, NY 12205 - Phone
- (518) 719-5551
- Fax
- (518) 536-9022
- NPI assigned
- Nov 1, 2010
- Last updated
- Dec 18, 2017
- Sex
- Female
- 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 | 018991 | NY | Primary |
Addresses
Primary practice location
5 Pine West Plaza
Suite 511
Albany, NY 12205
Mailing address
5 Pine West Plaza
Suite 511
Albany, NY 12205
Phone (518) 719-5551
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018991 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G.H. Wilber, Psy.D., PLLC | Clinical | Current | Accepting new patients |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients |
Locations
5 Pine West Plz
Ste 511
Albany, NY 12205
Phone (518) 248-9338
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Albany, NY
- NPI 1700384468
-
dba Winchester Family Health Center
- Federally Qualified Health Center (FQHC)
- Winchester, VA
- NPI 1023217452
-
dba Shenandoah Community Health Widmyer Elementary
- Federally Qualified Health Center (FQHC)
- Berkeley Springs, WV
- NPI 1568186153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513555200000",
"number": "1538469952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 PINE WEST PLAZA",
"address_2": "SUITE 511",
"city": "ALBANY",
"state": "NY",
"postal_code": "12205",
"telephone_number": "518-719-5551",
"fax_number": "518-536-9022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PINE WEST PLAZA",
"address_2": "SUITE 511",
"city": "ALBANY",
"state": "NY",
"postal_code": "12205",
"telephone_number": "518-719-5551",
"fax_number": "518-536-9022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILBER",
"first_name": "GRETCHEN",
"middle_name": "HERBERT",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-01",
"last_updated": "2017-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "018991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.