Wellness Psychological Services, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

007918 Issued in NY

Legal business name

WELLNESS PSYCHOLOGICAL SERVICES, P.C.

Practice address

2614 Genesee St
Utica, NY 13502-6003

Phone

(315) 794-9962

NPI assigned

Dec 18, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Raymond A. Bepko, PH.D.NPI 1386893964

Title

President

Phone

(315) 794-9962

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raymond A. Bepko, PH.D.

  • Psychologist
  • Utica, NY
  • NPI 1386893964
  Authorized official Same address or phone
• Jean M Baker, LCSW-R

  • Clinical Social Worker
  • Clinton, NY
  • NPI 1164664934
  NPD (past)

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1982069985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026003",
            "telephone_number": "315-794-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026003",
            "telephone_number": "315-794-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "BEPKO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-794-9962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "007918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Weldon
• Erin Wellenstein Smith, PA
• David Earl Wellenstein, M.D.
• Katherine Mary Weller
• Shawn Thomas Wellington-Norton
• Shelley R Wells-Courter, LMSW
• Sydney Wells, LMSW
• Wendy E Martin (Wendy Martin ANP)
• Rebekah Ruth Wenz, MSED, BSST
• Kenneth I Werner, MD

• Clinical Psychologist in Utica, NY
• Providers in Utica, 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 Dec 18, 2015; 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.