Active NPI
Neila Cohalan Wyman, LCSW, PA
- Psychoanalyst
- New York, NY
National Provider Identifier
1649416785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 000687
- Practice address
- 118 W 80TH St
New York, NY 10024-6351 - Phone
- (212) 362-0148
- Fax
- (212) 874-6814
- NPI assigned
- Dec 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 000687 | NY | Primary |
| Clinical Social Worker | 1041C0700X | R035636 | NY |
Addresses
Primary practice location
118 W 80TH St
New York, NY 10024-6351
Mailing address
118 W 80TH St
New York, NY 10024-6351
Phone (212) 362-0148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 9, 2024 through Apr 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R035636 | NY | MD | Clinical Social Worker |
| 000687 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229644800000",
"number": "1649416785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 W 80TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100246351",
"telephone_number": "212-362-0148",
"fax_number": "212-874-6814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 W 80TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100246351",
"telephone_number": "212-362-0148",
"fax_number": "212-874-6814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYMAN",
"first_name": "NEILA",
"middle_name": "COHALAN",
"name_prefix": "Mrs.",
"credential": "LCSW, PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-19",
"last_updated": "2008-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "000687",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R035636",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.