Active NPI
Adam Wilikofsky, PHD
- Clinical Psychologist
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS005455L
- Practice address
- 555 N Duke St
Lancaster, PA 17602-2250 - Phone
- (717) 544-5511
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS005455L | PA | Primary |
Addresses
Primary practice location
555 N Duke St
Lancaster, PA 17602-2250
Mailing address
555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-5511
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3321658000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 0787071000 | Other | PA | AMERIHEALTH 65 OR IBC |
| HMO# 1150122 | Other | PA | AETNA |
| 001539956 | Other | PA | CBHNP |
| 50055747 | Other | PA | CAPITAL BLUE CROSS |
| 000670444 | Other | PA | HIGHMARK BLUE SHIELD |
| 0015399560003 | Medicaid | PA | |
| 176754000 | Other | PA | MAGELLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lanaster General Hospital | Current | Accepting new patients | |
| Lancaster General Hospital | Current | Accepting new patients |
Locations
1030 New Holland Ave
Bldg 12A
Lancaster, PA 17601
554 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-1960
555 N Duke St
Fl 1
Lancaster, PA 17602
Phone (717) 544-7279
540 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-4950
555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1669437232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N DUKE ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176022250",
"telephone_number": "717-544-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N DUKE ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176022250",
"telephone_number": "717-544-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILIKOFSKY",
"first_name": "ADAM",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS005455L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "3321658000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH 65 OR IBC",
"identifier": "0787071000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "HMO# 1150122",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBHNP",
"identifier": "001539956",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50055747",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "000670444",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015399560003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "176754000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.