Kristian Winiarz, PSYD, MA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS019951 Issued in PA

Practice address

173 W Berks St Apt 305
Philadelphia, PA 19122-2463

Phone

(302) 635-0560

NPI assigned

Mar 29, 2024

Last updated

Mar 29, 2024By the provider in NPPES

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 PA

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

AIDS Care GroupGroup PAC ID 2264345933, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• AIDS Care Group

  • Clinic/Center
  • Chester, PA
  • NPI 1477592400
  Medicare reassignment Care Compare group NPD
• AIDS Care Group

  dba Eddystone Community Pharmacy

  • Pharmacy
  • Eddystone, PA
  • NPI 1871913327
  NPD

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1639920309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 W BERKS ST APT 305",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191222463",
            "telephone_number": "302-438-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 W BERKS ST APT 305",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191222463",
            "telephone_number": "302-635-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINIARZ",
        "first_name": "KRISTIAN",
        "name_prefix": "Dr.",
        "credential": "PSYD, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keirstie Wineland, MA, BCBA
• Anna Kait Wing, MD
• Joan Wing, OD
• Norma Jean Wingate, M.ED, ATC
• Erin Wingen, MS, RD
• Nicole Anna Winigrad, CRNP
• Jason Wink
• Dennis G Winkelman, D.O.
• Benjamin Winkler
• Emily Savarino Winkler, PA

• Clinical Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.