Individual provider Active NPI

Lindsey Lee Wilner, PSYD

  • Forensic Psychologist
  • Saratoga Springs, NY
National Provider Identifier
1841714532
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
022202-1 Issued in NY
Practice address
1 West Ave Ste 205
Saratoga Springs, NY 12866-6064
Phone
(518) 836-5536
Fax
(518) 836-5536
NPI assigned
Aug 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.009753 IL
Addiction (Substance Use Disorder) Psychologist 103TA0400X 022202-1 NY
Addiction (Substance Use Disorder) Psychologist 103TA0400X 3470-57 WI
Clinical Psychologist 103TC0700X 022202-1 NY
Clinical Psychologist 103TC0700X 3470-57 WI
Forensic Psychologist 103TF0200X 3470-57 WI
Forensic Psychologist 103TF0200X 022202-1 NY Primary

Addresses

Primary practice location

1 West Ave Ste 205
Saratoga Springs, NY 12866-6064

Mailing address

1 West Ave Ste 205
Saratoga Springs, NY 12866-6064
Phone (518) 836-5536

Other practice location 1

1 Marcus Blvd. 105
105
Albany, NY 12205
Phone (518) 836-5536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.009753ILMDProfessional Counselor
022202-1NYMDClinical Psychologist
3470-57WIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841714532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WEST AVE STE 205",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666064",
            "telephone_number": "518-836-5536",
            "fax_number": "518-836-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEST AVE STE 205",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666064",
            "telephone_number": "518-836-5536",
            "fax_number": "518-836-5536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Marcus Blvd. 105",
            "address_2": "105",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "12205",
            "country_code": "US",
            "telephone_number": "518-836-5536",
            "fax_number": "518-836-5536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILNER",
        "first_name": "LINDSEY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009753",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "022202-1",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "3470-57",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022202-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3470-57",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "WI",
            "license": "3470-57",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NY",
            "license": "022202-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.