Yitzchok D. Wagshul, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P14061 Issued in NY

Practice address

6023 Fort Hamilton Pkwy
Brooklyn, NY 11219-4814

Phone

(718) 686-3400

Fax

(718) 686-4400

NPI assigned

Nov 19, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• MN Psychological Services PLLC

  • Psychologist
  • Brooklyn, NY
  • NPI 1003381708
  Medicare reassignment NPD
• Shobin Oommen Physician, PC

  • Behavior Analyst
  • New Hyde Park, NY
  • NPI 1275853129
  Medicare reassignment NPD

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1841769965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 KINGSTON AVE APT D5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254645",
            "telephone_number": "718-778-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6023 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194814",
            "telephone_number": "718-686-3400",
            "fax_number": "718-686-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGSHUL",
        "first_name": "YITZCHOK",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "P14061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon T Wagschal, RN
• Shia Wagschal
• Yosef Wagschal
• Elimelech Wagshall, DDS
• Raizel Wagshall, LMSW
• Yi-Kwen Nicolle Wah, OD
• Qadri Wahab
• Danielle Wahba
• David Wahba, MS ED
• Jeanette Wahba

• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, 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 Nov 19, 2018; 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.

Verify at the official NPI Registry.