Active NPI
Vivien Deutsch Wolsk, PHD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1992869457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 004128-1
- Practice address
- 73 Perry St
#1
New York, NY 10014-3248 - Phone
- (212) 929-7159
- Fax
- (212) 463-9258
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 004128-1 | NY | Primary |
Addresses
Primary practice location
73 Perry St
#1
New York, NY 10014-3248
Mailing address
73 Perry St
#1
New York, NY 10014-3248
Phone (212) 929-7159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01431254 | Medicaid | NY |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004128-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992869457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 PERRY ST",
"address_2": "#1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100143248",
"telephone_number": "212-929-7159",
"fax_number": "212-463-9258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 PERRY ST",
"address_2": "#1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100143248",
"telephone_number": "212-929-7159",
"fax_number": "212-463-9258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLSK",
"first_name": "VIVIEN",
"middle_name": "DEUTSCH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "004128-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01431254",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.