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WILLIAM JOSEPH WAKED PH.D.
NPI 1295872810
Clinical Neuropsychologist in New York, NY

Active since January 31, 2007Opted out of Medicare · through Jan 10, 2027
30 E END AVE, SUITE 1C, NEW YORK, NY 10028(212) 795-6916 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Joseph Waked Ph.d. NPPES

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

WILLIAM JOSEPH WAKED PH.D. (NPI 1295872810) is an individual clinical neuropsychologist in New York, New York, licensed in New York (011294-1) and active in the NPI registry since January 2007. He has opted out of Medicare through January 10, 2027.

NPPES Registry Identity

NPI1295872810
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameWILLIAM JOSEPH WAKEDCredential: PH.D.
Location Address30 E END AVE, SUITE 1CNew York, NY 10028-7053
Mailing Address116 Pinehurst Ave Apt J52New York, NY 10033-1755 · (121) 795-6916
Phone(212) 795-6916
Sole ProprietorYes
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295872810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NY · 011294-1
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
30 E END AVE, SUITE 1C, New York, NY 10028
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Other Identifiers 1

Medicare ID-Type UnspecifiedV00021NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

William Joseph Waked Ph.d. 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 10, 2023 through January 10, 2027.

Opt-Out Effective DateJanuary 10, 2023
Opt-Out In Effect ThroughJanuary 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 William Waked's NPI number?

The NPI number for William Waked is 1295872810. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is William Waked located?

William Waked practices at 30 E End Ave, Suite 1C, New York, NY 10028. The listed phone number is (212) 795-6916.

What is William Waked's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is William Waked enrolled in Medicare?

No. William Waked has opted out of Medicare through January 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for William Waked 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.