Theresa Jaworski, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

12482-1 Issued in NY

Practice address

5330 Main St
Suite 240
Williamsville, NY 14221-5360

Phone

(716) 626-9016

NPI assigned

Sep 1, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Advanced Psychiatric Nurse Practitioner Practice, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Williamsville, NY
  • NPI 1831120245
  NPD (past)
• Mary Jo Penizotto, PHD

  • Adult Mental Health Clinic/Center
  • East Amherst, NY
  • NPI 1386094126
  NPD (past)
• Psychological Services of Wny PLLC

  • Psychologist
  • Hamburg, NY
  • NPI 1851802292
  NPD (past)

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679567952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 WAGON WHEEL DR",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511854",
            "telephone_number": "716-626-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 MAIN ST",
            "address_2": "SUITE 240",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215360",
            "telephone_number": "716-626-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWORSKI",
        "first_name": "THERESA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "12482-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000523924001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Steven Jarmusz, PHARM.D.
• Deborah Jarosz, LPN
• Emily Jaszka, PHYSICIAN ASSISTANT
• David Edwin Jauch Jr., D.C.
• Sahrish Javed, LPN
• Amy Jay, OT
• Karen Theresa Jaynes, RPH
• Amy Jean
• Niccole Michelle Jefferlone, D.C.
• Jeanette Jenkins, LPN

• Clinical Psychologist in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.