Individual provider Active NPI

Barbara Susan Weliky, PSY.D.

  • Psychologist
  • Williston Park, NY
National Provider Identifier
1881163616
Registry record updated Nov 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
011296 Issued in NY
Practice address
32 Hawthorne St
Williston Park, NY 11596-1706
Phone
(917) 414-2659
NPI assigned
Nov 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Psychologist 103T00000X 011296 NY Primary

Addresses

Primary practice location

32 Hawthorne St
Williston Park, NY 11596-1706

Mailing address

32 Hawthorne St
Williston Park, NY 11596-1706
Phone (917) 414-2659

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1542844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542844800000",
    "number": "1881163616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HAWTHORNE ST",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961706",
            "telephone_number": "917-414-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HAWTHORNE ST",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961706",
            "telephone_number": "917-414-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELIKY",
        "first_name": "BARBARA",
        "middle_name": "SUSAN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-22",
        "last_updated": "2018-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2018; 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.