DR. TIMOTHY JAMES WISNIEWSKI PHD
NPI 1154959963
Psychologist - Forensic in Albany, NY

Active since March 28, 2020PECOS EnrolledAccepts Medicare Assignment
845 CENTRAL AVE STE 1, ALBANY, NY 12206(518) 729-3953 Get Directions Write a Review

NPPES record last updated: March 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Timothy James Wisniewski Phd NPPES

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

DR. TIMOTHY JAMES WISNIEWSKI PHD (NPI 1154959963) is an individual forensic provider in Albany, New York, licensed in New York (017817) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1154959963
Entity TypeIndividualMale
Primary Taxonomy103TF0200X
Provider Legal NameDR. TIMOTHY JAMES WISNIEWSKICredential: PHD
Location Address845 CENTRAL AVE STE 1Albany, NY 12206-1514
Mailing Address845 Central Ave Ste 1Albany, NY 12206-1514 · (518) 729-3953
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 28, 2020
NPPES CertifiedMarch 28, 2020
NPI 1154959963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers
Taxonomy Code103TF0200X
License Licensed in NY · 017817
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 017817 (NY)
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License 017817 (NY)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 017817 (NY)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 017817 (NY)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 017817 (NY)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 017817 (NY)
845 CENTRAL AVE STE 1, Albany, NY 12206

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. Timothy James Wisniewski 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 ID7719399815
PECOS Enrollment IDI20201221002393
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.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Adult Mental Health)
845 CENTRAL AVE STE 1
ALBANY, NY 12206
Counselor (Mental Health)
845 CENTRAL AVE STE 1
ALBANY, NY 12206

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 Timothy Wisniewski's NPI number?

The NPI number for Timothy Wisniewski is 1154959963. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Where is Timothy Wisniewski located?

Timothy Wisniewski practices at 845 Central Ave Ste 1, Albany, NY 12206. The listed phone number is (518) 729-3953.

What is Timothy Wisniewski's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

Is Timothy Wisniewski enrolled in Medicare?

Yes. Timothy 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 Timothy Wisniewski was last updated on March 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.