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HEATHER MARIE WYNNE PHD
NPI 1295625630
Psychologist - Clinical in Carmel, NY

Active since July 07, 2025PECOS Enrolled
667 STONELEIGH AVE STE 202, CARMEL, NY 10512(845) 279-5908 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2026, Jul 7, 2025 (2 updates tracked since 2025).

About Heather Marie Wynne Phd NPPES

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

HEATHER MARIE WYNNE PHD (NPI 1295625630) is an individual clinical provider in Carmel, New York, licensed in New York (022401) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1295625630
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameHEATHER MARIE WYNNECredential: PHD
Location Address667 STONELEIGH AVE STE 202Carmel, NY 10512-2455
Mailing Address667 Stoneleigh Ave Ste 202Carmel, NY 10512-2455
Phone(845) 279-5908
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 7, 2025
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1295625630 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 NY · 022401
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.
667 STONELEIGH AVE STE 202, Carmel, NY 10512
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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 (PECOS)

Heather Marie Wynne Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406337252
PECOS Enrollment IDI20260219004615
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10512 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
$187.05 typical visit price
range $61.88 – $187.05
Typical copayment $46.76 (range $15.47 – $46.76)
Most-billed visit code 99205
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

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.

MR. ANTHONY SHEPPARD LMSW
Social Worker
667 STONELEIGH AVE STE 202
CARMEL, NY 10512
Putnam County (845) 279-5908
MELISSA ERASMA CINTRON-ARROYO LCSW
Social Worker (Clinical)
667 STONELEIGH AVE STE 202
CARMEL, NY 10512
Putnam County (845) 230-1237
MARY ALICE SCIULLO LMHC
Counselor (Mental Health)
667 STONELEIGH AVE STE 202
CARMEL, NY 10512
Putnam County (845) 279-5908
KATIANA M SIMON
Social Worker (Clinical)
667 STONELEIGH AVE STE 202
CARMEL, NY 10512
Putnam County (845) 279-5908
ACSAH CARTER LMFT
Marriage & Family Therapist
667 STONELEIGH AVE STE 202
CARMEL, NY 10512
Putnam County (914) 345-5900
JESSICA MCWILLIAM LMSW
Social Worker (Clinical)
667 STONELEIGH AVE STE 202
CARMEL, NY 10512
Putnam County (845) 279-5908
NAOMI FISHER DNP-PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
667 STONELEIGH AVE STE 202
CARMEL, NY 10512
Putnam County (845) 279-5908
ASHLEY OLIVETO LMHC
Counselor (Mental Health)
667 STONELEIGH AVE STE 202
CARMEL, NY 10512
Putnam County (845) 279-5908

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 Heather Wynne's NPI number?

The NPI number for Heather Wynne is 1295625630. It was assigned to this individual provider in the NPPES registry on July 7, 2025.

Where is Heather Wynne located?

Heather Wynne practices at 667 Stoneleigh Ave Ste 202, Carmel, NY 10512. The listed phone number is (845) 279-5908.

What is Heather Wynne's specialty?

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

Is Heather Wynne enrolled in Medicare?

Yes. Heather Wynne is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Heather Wynne was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.