DR. MICHAEL GERARD WISNIEWSKI PH.D.
NPI 1093749624
Psychologist - Clinical in Beachwood, OH

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
29425 CHAGRIN BLVD, SUITE 301, BEACHWOOD, OH 44122(216) 292-0610(216) 292-0627 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Gerard Wisniewski Ph.d. NPPES

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

DR. MICHAEL GERARD WISNIEWSKI PH.D. (NPI 1093749624) is an individual clinical provider in Beachwood, Ohio, licensed in Ohio (3607) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1093749624
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHAEL GERARD WISNIEWSKICredential: PH.D.
Location Address29425 CHAGRIN BLVD, SUITE 301Beachwood, OH 44122-4639
Mailing Address29425 Chagrin Blvd, Suite 301Beachwood, OH 44122-4639 · (216) 292-0610 · Fax (216) 292-0627
Fax(216) 292-0627
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1093749624 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 OH · 3607
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.
29425 CHAGRIN BLVD, Beachwood, OH 44122

Other Identifiers 2

Medicare ID-Type UnspecifiedWICP14661OH
Medicaid0692175OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Gerard Wisniewski Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688578131
PECOS Enrollment IDI20031216000564
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44122 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 9

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
29425 CHAGRIN BLVD, SUITE 301
BEACHWOOD, OH 44122
Psychiatry & Neurology (Psychiatry)
29425 CHAGRIN BLVD, SUITE 301
PEPPER PIKE, OH 44122
Psychiatry & Neurology (Child & Adolescent Psychiatry)
29425 CHAGRIN BLVD, SUITE 301
BEACHWOOD, OH 44122
Psychiatry & Neurology (Psychiatry)
29425 CHAGRIN BLVD, SUITE 301
CLEVELAND, OH 44122
Counselor (Mental Health)
29425 CHAGRIN BLVD, 301
BEACHWOOD, OH 44122
Psychiatry & Neurology (Psychiatry)
29425 CHAGRIN BLVD, SUITE 301
BEACHWOOD, OH 44122
Counselor (Mental Health)
29425 CHAGRIN BLVD, SUITE 303
BEACHWOOD, OH 44122
Psychiatry & Neurology (Psychiatry)
29425 CHAGRIN BLVD, SUITE 301
PEPPER PIKE, OH 44122

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 Michael Wisniewski's NPI number?

The NPI number for Michael Wisniewski is 1093749624. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Michael Wisniewski located?

Michael Wisniewski practices at 29425 Chagrin Blvd Suite 301, Beachwood, OH 44122. The listed phone number is (216) 292-0610.

What is Michael Wisniewski's specialty?

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

Is Michael Wisniewski enrolled in Medicare?

Yes. Michael Wisniewski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Wisniewski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.