WILLO WISOTSKY PH.D.
NPI 1265679039
Psychologist - Health in Commack, NY

Q: What is Willo Wisotsky's NPI number?

The NPI number for Willo Wisotsky is 1265679039. It was assigned to this individual provider in the NPPES registry on January 14, 2009.

Q: What is Willo Wisotsky's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

Q: When was this NPI record last updated?

The NPPES record for Willo Wisotsky was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 14, 2009PECOS EnrolledAccepts Medicare Assignment

35 CROOKED HILL RD, SUITE 203, COMMACK, NY 11725(631) 804-8830 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Willo Wisotsky Ph.d. NPPES

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

WILLO WISOTSKY PH.D. (NPI 1265679039) is an individual health provider in Commack, New York, licensed in New York (016173) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1265679039

Entity TypeIndividualFemale

Primary Taxonomy103TH0004X

Provider Legal NameWILLO WISOTSKYCredential: PH.D.

Location Address35 CROOKED HILL RD, SUITE 203Commack, NY 11725

Mailing Address35 Crooked Hill RdCommack, NY 11725-5415 · (631) 804-8830

Phone(631) 804-8830

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJanuary 14, 2009

Last NPPES UpdateSeptember 6, 2018

✔ NPI 1265679039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · HealthBehavioral Health & Social Service Providers

Taxonomy Code103TH0004X

License✔ Licensed in NY · 016173

Definition

A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 016173 (NY)

35 CROOKED HILL RD, Commack, NY 11725

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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

Willo Wisotsky 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 ID7517135080

PECOS Enrollment IDI20250429002411

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 7

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

MR. DOMINICK SCALISE LCSW

Social Worker (Clinical)

35 CROOKED HILL RD
COMMACK, NY 11725

Suffolk County (631) 835-6288

DR. JAMES P. BROWNE PSYD.

Psychologist (Clinical)

35 CROOKED HILL RD, SUITE 102
COMMACK, NY 11725

Suffolk County (631) 697-7879

DR. JEFFERY M. POMERANTZ PH.D.

Psychologist (Clinical Child & Adolescent)

35 CROOKED HILL RD, SUITE 102
COMMACK, NY 11725

Suffolk County (631) 462-0994

MS. GLENDA GREGORY LCSW

Social Worker (Clinical)

35 CROOKED HILL RD
COMMACK, NY 11725

Suffolk County (631) 941-1016

DR. LISA GISCHE PH.D.

Psychologist (Clinical)

35 CROOKED HILL RD
COMMACK, NY 11725

Suffolk County (631) 836-2930

STEPHEN MICHAEL GUIDO PH.D.

Psychologist (Clinical)

35 CROOKED HILL RD, SUITE 203-E
COMMACK, NY 11725

Suffolk County (631) 462-5344

MRS. HEDY M. MONTALVO L.C.S.W.

Social Worker (Clinical)

35 CROOKED HILL RD
COMMACK, NY 11725

Suffolk County (631) 807-9152

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 Willo Wisotsky's NPI number?

The NPI number for Willo Wisotsky is 1265679039. It was assigned to this individual provider in the NPPES registry on January 14, 2009.

Where is Willo Wisotsky located?

Willo Wisotsky practices at 35 Crooked Hill Rd Suite 203, Commack, NY 11725. The listed phone number is (631) 804-8830.

What is Willo Wisotsky's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

Is Willo Wisotsky enrolled in Medicare?

Yes. Willo Wisotsky 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 Willo Wisotsky was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.