Active NPI
Garret Benjamin Wyner, PHD, PSYD
- Clinical Psychologist
- Studio City, CA
National Provider Identifier
1851540702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 27475
- Practice address
- 12944 Greenleaf St
Studio City, CA 91604-2224 - Phone
- (818) 784-4784
- Fax
- (818) 784-7922
- NPI assigned
- Sep 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Clinical Psychologist | 103TC0700X | 27475 | CA | Primary |
Addresses
Primary practice location
12944 Greenleaf St
Studio City, CA 91604-2224
Mailing address
12944 Greenleaf St
Studio City, CA 91604-2224
Phone (818) 784-4784
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 |
|---|---|---|---|
| Wyner Family Counseling, Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1851540702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12944 GREENLEAF ST",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916042224",
"telephone_number": "818-784-4784",
"fax_number": "818-784-7922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12944 GREENLEAF ST",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916042224",
"telephone_number": "818-784-4784",
"fax_number": "818-784-7922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYNER",
"first_name": "GARRET",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "PHD, PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-16",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "27475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Studio City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.