DR. KATHERINE FISKE WARDLE PHD
NPI 1104953421
Psychologist in Rexford, NY

Active since February 27, 2007PECOS EnrolledAccepts Medicare Assignment
70 NOTT ROAD, REXFORD, NY 12148(518) 783-1051(518) 783-1051 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Katherine Fiske Wardle Phd NPPES

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

DR. KATHERINE FISKE WARDLE PHD (NPI 1104953421) is an individual psychologist in Rexford, New York, licensed in New York (5491) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1104953421
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KATHERINE FISKE WARDLECredential: PHD
Location Address70 NOTT ROADRexford, NY 12148-1310
Mailing Address70 Nott RoadRexford, NY 12148-1310 · (518) 783-1051 · Fax (518) 783-1051
Fax(518) 783-1051
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1104953421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 5491
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
70 NOTT ROAD, Rexford, NY 12148

Other Identifiers 3

Medicaid01587604NY
Medicare UPINR88822
Medicare ID-Type UnspecifiedDD5375NY

Accepted Insurance

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. Katherine Fiske Wardle Phd 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 ID5193045037
PECOS Enrollment IDI20150518000971
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.

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 Katherine Wardle's NPI number?

The NPI number for Katherine Wardle is 1104953421. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Katherine Wardle located?

Katherine Wardle practices at 70 Nott Road, Rexford, NY 12148. The listed phone number is (518) 783-1051.

What is Katherine Wardle's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Katherine Wardle enrolled in Medicare?

Yes. Katherine Wardle 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.

What insurance does Katherine Wardle accept?

Health plans from Providence Health Plan list Katherine Wardle 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 Katherine Wardle 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.