Tessa Wilson-Ewing, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

60285878 Issued in NY

Practice address

116 E 124TH St
3Rd Floor
New York, NY 10035-1933

Phone

(212) 876-6083

Fax

(212) 876-6092

NPI assigned

Jul 31, 2016

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Harlem Bay Network Pros

  • Adult Mental Health Clinic/Center
  • New York, NY
  • NPI 1952669913
  NPD (past)

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

{
    "created_epoch": "1469923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1548713142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E 124TH ST",
            "address_2": "3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351933",
            "telephone_number": "212-876-6083",
            "fax_number": "212-876-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E 124TH ST",
            "address_2": "3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351933",
            "telephone_number": "212-876-6083",
            "fax_number": "212-876-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-EWING",
        "first_name": "TESSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-31",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "60285878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Theodore Wilner, M.D.
• Melvin Jerry Wilner, D.D.S.
• Morris Wilner, DPM
• Philip Jonathan Wilner, M.D.
• Warren Elliot Wilner, PHD
• Thais Irina Wilson-Soler
• Melanie Wilson-Taylor, M.D.
• A-NA Wilson
• Abigail Wilson
• Adam George Wilson, LMSW

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.