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DR. EVELYN WISZINCKAS PH.D.
NPI 1124176227
Psychologist - Clinical in Kodiak, AK

Active since January 08, 2007Opted out of Medicare · through Jul 1, 2028
104 CENTER STREET, SUITE 202, KODIAK, AK 99615(907) 486-0311(907) 486-4006 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Evelyn Wiszinckas Ph.d. NPPES

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

DR. EVELYN WISZINCKAS PH.D. (NPI 1124176227) is an individual clinical provider in Kodiak, Alaska, licensed in Alaska (204) and active in the NPI registry since January 2007. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124176227
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. EVELYN WISZINCKASCredential: PH.D.
Location Address104 CENTER STREET, SUITE 202Kodiak, AK 99615
Mailing Address104 Center Street, Suite 202Kodiak, AK 99615 · (907) 486-0311 · Fax (907) 486-4006
Phone(907) 486-0311
Fax(907) 486-4006
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124176227 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 AK · 204
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.
104 CENTER STREET, Kodiak, AK 99615
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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. Evelyn Wiszinckas Ph.d. 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 July 1, 2018 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2018
Opt-Out In Effect ThroughJuly 1, 2028Opt-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 99615 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
$222.64 typical visit price
range $71.33 – $222.64
Typical copayment $55.66 (range $17.83 – $55.66)
Most-billed visit code 99205
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

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 Evelyn Wiszinckas's NPI number?

The NPI number for Evelyn Wiszinckas is 1124176227. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Evelyn Wiszinckas located?

Evelyn Wiszinckas practices at 104 Center Street Suite 202, Kodiak, AK 99615. The listed phone number is (907) 486-0311.

What is Evelyn Wiszinckas's specialty?

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

Is Evelyn Wiszinckas enrolled in Medicare?

No. Evelyn Wiszinckas has opted out of Medicare through July 1, 2028. 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 Evelyn Wiszinckas 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.