Edward Scott Wile, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

014333 Issued in NY

Practice address

1926 Oakland Ave
Wantagh, NY 11793-3610

Phone

(516) 599-2022

Fax

(516) 781-0457

NPI assigned

Mar 11, 2007

Sex

Male

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

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Wantagh Psychological Counseling Services PC

  • Psychologist
  • Wantagh, NY
  • NPI 1922134253
  NPD (past)

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629100102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 OAKLAND AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933610",
            "telephone_number": "516-599-2022",
            "fax_number": "516-781-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 OAKLAND AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933610",
            "telephone_number": "516-599-2022",
            "fax_number": "516-781-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILE",
        "first_name": "EDWARD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "014333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Welch, MHC
• Wellness Telehealth Care Medical PLLC
• Wellness Worx Incorporated
• Brian Hantz West, LMHC
• Beth Widzowski, LCSW
• Shannon T Williams
• Tenneil Williams, BA
• Kristina Williamson
• Carrie Wind, SLP
• Erin Grace Wirth

• Psychologist in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Psychologist in New York

• 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.
• 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.