Active NPI
Wiley Marriage and Family Therapy PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockville Centre, NY
National Provider Identifier
1861147233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- WILEY MARRIAGE AND FAMILY THERAPY PLLC
- Practice address
- 100 N Village Ave Ste 27
Rockville Centre, NY 11570-3712 - Phone
- (516) 696-3700
- NPI assigned
- Feb 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Wiley, LMFT
- Title
- Owner
- Phone
- (516) 476-6545
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
100 N Village Ave Ste 27
Rockville Centre, NY 11570-3712
Mailing address
114 Evergreen Ave FL 2
Lynbrook, NY 11563-3162
Phone (516) 476-6545
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Port Jefferson, NY
- NPI 1467033324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644883200000",
"number": "1861147233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 EVERGREEN AVE FL 2",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115633162",
"telephone_number": "516-476-6545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N VILLAGE AVE STE 27",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115703712",
"telephone_number": "516-696-3700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILEY MARRIAGE AND FAMILY THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-15",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A",
"authorized_official_last_name": "WILEY",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-476-6545",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.