Robert L Wing PSYD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3254 Issued in MA

Legal business name

ROBERT L WING PSYD PC

Practice address

94 N Elm St
Suite 205
Westfield, MA 01085-1647

Phone

(413) 568-0850

Fax

(413) 562-1476

NPI assigned

Sep 20, 2005

Organization subpart

No

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

Authorized official

Name

Robert L Wing, PSY D

Title

Owner President

Phone

(413) 568-0850

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1902891567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 N ELM ST",
            "address_2": "SUITE 205",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851647",
            "telephone_number": "413-568-0850",
            "fax_number": "413-562-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 N ELM ST",
            "address_2": "SUITE 205",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851647",
            "telephone_number": "413-568-0850",
            "fax_number": "413-562-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L WING PSYD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "WING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "413-568-0850",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "3254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0513954",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "17783",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W03345",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stuart Allan Ritter, PT
• Nereida Rivas
• Gilberto Rivera
• Migdalia Rivera
• Sheila A Rivera
• Bridget S Roberts, LMHC
• Loran Willis Roberts, MD
• Michael Roberts
• Jennifer Ann Robidoux, COTA
• Margaret Robitaille, RN

• Clinical Psychologist in Westfield, MA
• Providers in Westfield, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.