Bruce Leslie Wilson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

009606 Issued in NY

Practice address

42 Poplar Rd Ste E
Briarcliff Manor, NY 10510-1206

Phone

(914) 666-0060

Fax

(914) 666-9662

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

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

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)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1548313281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105100121",
            "telephone_number": "914-666-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 POPLAR RD STE E",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101206",
            "telephone_number": "914-666-0060",
            "fax_number": "914-666-9662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1133 Pleasantville Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Briarcliff Manor",
            "state": "NY",
            "postal_code": "105101635",
            "country_code": "US",
            "telephone_number": "914-666-0060",
            "fax_number": "914-666-9662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRUCE",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009606",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "0096961",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6152362",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "S096065",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "113511",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0078820",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "WS1191",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naoko Komatsu Weintraub, OTR/L
• David Joseph Weiser, M.D.
• Westchester Endrocrinology PLLC
• Westchester Psychological Associates, PLLC
• Weston Paxxon PT OT SLP PLLC
• Michelle Woerner
• Christopher Kevin Wong, MSPT
• Holly A Young, LCSW-R
• Tariq Anwar Yousef, M.D.
• Janet Rosen Zarowitz, MS, RD, CDN

• Clinical Psychologist in Briarcliff Manor, NY
• Providers in Briarcliff Manor, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; 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.