Psychological Services of Wny PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

022061 Issued in NY

Legal business name

PSYCHOLOGICAL SERVICES OF WNY PLLC

Practice address

84 Lake St
Hamburg, NY 14075-4834

Phone

(716) 422-0054

NPI assigned

Oct 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Diane Franklin, PHDNPI 1285656488

Title

Clinical Psychologist/Owner

Phone

(716) 422-0054

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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.

• Kimberly Franklin, PHD

  • Clinical Psychologist
  • Hamburg, NY
  • NPI 1285656488
  Medicare reassignment NPD Authorized official
• Theresa Jaworski, PH.D.

  • Clinical Psychologist
  • Williamsville, NY
  • NPI 1679567952
  NPD (past)

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728086400000",
    "number": "1851802292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 LAKE ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754834",
            "telephone_number": "716-422-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 LAKE ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754834",
            "telephone_number": "716-422-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL SERVICES OF WNY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-05",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "716-422-0054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2024; 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.