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

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: July 19, 2026.

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
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:<ul><li>

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 016173 (NY)
35 CROOKED HILL RD, Commack, NY 11725

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 8

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

Psychologist (Clinical)
35 CROOKED HILL RD, SUITE 203-E
COMMACK, NY 11725
Social Worker (Clinical)
35 CROOKED HILL RD
COMMACK, NY 11725
Social Worker (Clinical)
35 CROOKED HILL RD
COMMACK, NY 11725
Psychologist (Clinical Child & Adolescent)
35 CROOKED HILL RD, SUITE 102
COMMACK, NY 11725
Social Worker (Clinical)
35 CROOKED HILL RD
COMMACK, NY 11725
Psychologist (Clinical)
35 CROOKED HILL RD, SUITE 102
COMMACK, NY 11725
Psychologist (Clinical)
35 CROOKED HILL RD
COMMACK, NY 11725
Social Worker (Clinical)
35 CROOKED HILL RD
COMMACK, NY 11725

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265679039, enumerated as an "individual" on January 14, 2009.

The provider is located at 35 CROOKED HILL RD SUITE 203 COMMACK, NY 11725 and the phone number is (631) 804-8830.

Psychologist with taxonomy code 103TH0004X and a focus in Health.