JASON WHEELER PHD
NPI 1194813998
Psychologist in New York, NY

Active since October 10, 2006Opted out of Medicare · through Jan 1, 2027
1090 AMSTERDAM AVE, SUITE 16C, NEW YORK, NY 10025(212) 523-2965(212) 636-1303 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jason Wheeler Phd NPPES

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

JASON WHEELER PHD (NPI 1194813998) is an individual psychologist in New York, New York, licensed in New York (016873) and active in the NPI registry since October 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194813998
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJASON WHEELERCredential: PHD
Location Address1090 AMSTERDAM AVE, SUITE 16CNew York, NY 10025-1737
Mailing Address1090 Amsterdam Ave, Suite 16cNew York, NY 10025-1737 · (212) 523-2965 · Fax (212) 636-1303
Fax(212) 636-1303
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194813998 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 · 016873
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.
1090 AMSTERDAM AVE, New York, NY 10025

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Jason Wheeler 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 January 1, 2013 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2013
Opt-Out In Effect ThroughJanuary 1, 2027Opt-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.

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.

Psychiatry & Neurology (Psychiatry)
1090 AMSTERDAM AVE, SUITE 17 NORTH 13
NEW YORK, NY 10025
Orthopaedic Surgery
1090 AMSTERDAM AVE, SUITE 6E
NEW YORK, NY 10025
Pediatrics
1090 AMSTERDAM AVE
NEW YORK, NY 10025
Psychologist (Clinical)
1090 AMSTERDAM AVE
NEW YORK, NY 10025
Psychologist (Clinical)
1090 AMSTERDAM AVE
NEW YORK, NY 10025
Psychiatry & Neurology (Psychiatry)
1090 AMSTERDAM AVE
NEW YORK, NY 10025
Internal Medicine (Gastroenterology)
1090 AMSTERDAM AVE, 8B
NEW YORK, NY 10025
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1090 AMSTERDAM AVE, SUITE 8B
NEW YORK, NY 10025

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 Jason Wheeler's NPI number?

The NPI number for Jason Wheeler is 1194813998. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Jason Wheeler located?

Jason Wheeler practices at 1090 Amsterdam Ave Suite 16C, New York, NY 10025. The listed phone number is (212) 523-2965.

What is Jason Wheeler's specialty?

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

Is Jason Wheeler enrolled in Medicare?

No. Jason Wheeler has opted out of Medicare through January 1, 2027. 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 Jason Wheeler 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.