Keith Woythaler Psychologist, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

KEITH WOYTHALER PSYCHOLOGIST, P.C.

Practice address

100 N Village Ave Ste 11
Rockville Centre, NY 11570-3712

Phone

(516) 851-5381

NPI assigned

Nov 20, 2017

Organization subpart

No

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

Authorized official

Name

Keith WoythalerNPI 1548415953

Title

Owner

Phone

(516) 851-5381

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Woythaler, PH.D.

  • Clinical Psychologist
  • Rockville Centre, NY
  • NPI 1548415953
  Medicare reassignment NPD Authorized official
• Abby Beth Chack, LCSW

  • Clinical Social Worker
  • Oswego, NY
  • NPI 1568554467
  NPD (past)
• Steve Eric Weissman, PH.D.

  • Clinical Psychologist
  • Great Neck, NY
  • NPI 1457556748
  NPD (past)

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1952815565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N FOREST AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704304",
            "telephone_number": "516-851-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N VILLAGE AVE STE 11",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703712",
            "telephone_number": "516-851-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH WOYTHALER PSYCHOLOGIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "WOYTHALER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-851-5381"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiranpreet Kaur, PT
• KC Occupational Therapy, PLLC
• Eric Paul Keefer, M.D.
• Christine Keene
• Keith H Hasday DDS PC
• Maura Renee Kelly-Magliaro, OTR/L
• Janice Kelly, CSW
• Mary A Kelly, NP-C
• Samantha A. Kelly, CRNA
• Heidi Lee Kenny

• Clinical Psychologist in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.