Beata a Wiktor, Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS1417 Issued in ME

Legal business name

BEATA A WIKTOR, INC

Practice address

6 Main St
Suite 1
Gray, ME 04039-9502

Phone

(207) 657-8311

NPI assigned

Jan 30, 2015

Last updated

Jan 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beata A Wiktor, PSYDNPI 1528398104

Title

President

Phone

(207) 200-5925

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beata Anna Wiktor, PSY.D

  • Psychologist
  • Gray, ME
  • NPI 1528398104
  Medicare reassignment NPD Authorized official
• Karla L Diffin, PHD

  • Psychologist
  • South Paris, ME
  • NPI 1295956480
  NPD (past)

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1689064511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1614",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040621614",
            "telephone_number": "207-200-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MAIN ST",
            "address_2": "SUITE 1",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040399502",
            "telephone_number": "207-657-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEATA A WIKTOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "WIKTOR",
        "authorized_official_first_name": "BEATA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-200-5925",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS1417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane J Aubrey, ANP
• Amy Elizabeth Austin, M.S CCC-SLP
• Robert William Beebe, D.D.S.
• Rebecca Reid Brainerd, LCPC
• Bridges of Maine, LLC
• Caroline Bright, L.C.S.W
• Jennifer Brown, PHARMD

• Psychologist in Gray, ME
• Providers in Gray, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.