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DR. AMANDA MOBERG WILSON MD
NPI 1003073545
Psychiatry & Neurology - Psychiatry in New York, NY

Active since May 21, 2008Opted out of Medicare · through Oct 1, 2027
21 W 86TH ST, SUITE 209, NEW YORK, NY 10024(917) 715-2886 Get Directions Write a Review

NPPES record last updated: August 15, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Amanda Moberg Wilson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMANDA MOBERG WILSON MD (NPI 1003073545) is an individual psychiatry provider in New York, New York, licensed in New York (DO NOT HAVE ONE-PGY1) and active in the NPI registry since May 2008. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003073545
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. AMANDA MOBERG WILSONCredential: MD
Location Address21 W 86TH ST, SUITE 209New York, NY 10024-3671
Mailing Address1160 5th Ave, # 407New York, NY 10029-6928 · (917) 715-2886
Phone(917) 715-2886
Sole ProprietorYes
Enumeration DateMay 21, 2008
Last NPPES UpdateAugust 15, 2012
✔ NPI 1003073545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · DO NOT HAVE ONE-PGY1
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
21 W 86TH ST, New York, NY 10024
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Amanda Moberg Wilson Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2015 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2015
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORAH VALENTINE SHAMSIAN MD
Pediatrics
21 W 86TH ST
NEW YORK, NY 10024
New York County (212) 304-5800
MICHELLE JACK PT
Physical Therapist
21 W 86TH ST, SUITE 101
NEW YORK, NY 10024
New York County (212) 580-0125
MS. HELEN T HOFFMAN LCSW
Social Worker (Clinical)
21 W 86TH ST, SUITE 301
NEW YORK, NY 10024
New York County (212) 873-3052
DR. JILL T. PUTTERMAN PH.D.
Psychologist (Clinical)
21 W 86TH ST, #1202
NEW YORK, NY 10024
New York County (212) 721-6259
DR. SYLVIA LESTER PHD
Psychologist (Clinical)
21 W 86TH ST, #1101
NEW YORK, NY 10024
New York County (212) 496-0232
CHITRA VIDIYALA PT
Physical Therapist
21 W 86TH ST, SUITE 101
NEW YORK, NY 10024
New York County (212) 580-0125
EMILY L NASH L.C.A.T
Art Therapist
21 W 86TH ST, SUITE 208
NEW YORK, NY 10024
New York County (212) 579-3034
NAOMI YACHELEVICH MD
Medical Genetics (Clinical Genetics (M.D.))
21 W 86TH ST
NEW YORK, NY 10024
New York County (212) 304-5800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Wilson's NPI number?

The NPI number for Amanda Wilson is 1003073545. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Amanda Wilson located?

Amanda Wilson practices at 21 W 86th St Suite 209, New York, NY 10024. The listed phone number is (917) 715-2886.

What is Amanda Wilson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Amanda Wilson enrolled in Medicare?

No. Amanda Wilson has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Amanda Wilson was last updated on August 15, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.