ANDREW PETER WISLOCKI PHD
NPI 1053895185
Psychologist - Clinical in Wentzville, MO

Active since September 25, 2018Opted out of Medicare · through Apr 1, 2028
1032 CROSSWINDS CT, WENTZVILLE, MO 63385(888) 403-1071 Get Directions Write a Review

NPPES record last updated: March 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2019, Oct 2, 2018, Sep 25, 2018 (3 updates tracked since 2018).

About Andrew Peter Wislocki Phd NPPES

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

ANDREW PETER WISLOCKI PHD (NPI 1053895185) is an individual clinical provider in Wentzville, Missouri, licensed in Missouri (2018036029) and active in the NPI registry since September 2018. He has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1053895185
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameANDREW PETER WISLOCKICredential: PHD
Location Address1032 CROSSWINDS CTWentzville, MO 63385-4836
Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131
Sole ProprietorNo
Enumeration DateSeptember 25, 2018
Last NPPES UpdateMarch 12, 20193 updates tracked since enumeration
NPI 1053895185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MO · 2018036029
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1032 CROSSWINDS CT, Wentzville, MO 63385

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Andrew Peter Wislocki Phd 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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Social Worker (Clinical)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Psychologist (Clinical)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Dentist
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Social Worker (Clinical)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Counselor (Professional)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Counselor (Professional)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Dental Hygienist
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Counselor (Mental Health)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385

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 Andrew Wislocki's NPI number?

The NPI number for Andrew Wislocki is 1053895185. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Where is Andrew Wislocki located?

Andrew Wislocki practices at 1032 Crosswinds Ct, Wentzville, MO 63385. The listed phone number is (888) 403-1071.

What is Andrew Wislocki's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Andrew Wislocki enrolled in Medicare?

No. Andrew Wislocki has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Andrew Wislocki accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Andrew Wislocki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Wislocki was last updated on March 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.