NEW YORK PSYCHOLOGICAL WELLNESS, PC
NPI 1477965978
Psychologist - Clinical in Bayside, NY
About New York Psychological Wellness, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEW YORK PSYCHOLOGICAL WELLNESS, PC (NPI 1477965978) is a healthcare organization registered as a clinical in Bayside, New York and active in the NPI registry since June 2014. The organization lists Robert S. Meyers, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
New York Psychological Wellness, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to New York Psychological Wellness, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 New York Psychological Wellness, PC's NPI number?
The NPI number for New York Psychological Wellness, PC is 1477965978. It was assigned to this organization in the NPPES registry on June 2, 2014.
Where is New York Psychological Wellness, PC located?
New York Psychological Wellness, PC is located at 4640 Springfield Blvd, Bayside, NY 11361. The listed phone number is (718) 225-5505.
What is New York Psychological Wellness, PC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is New York Psychological Wellness, PC enrolled in Medicare?
Yes. New York Psychological Wellness, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through New York Psychological Wellness, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to New York Psychological Wellness, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for New York Psychological Wellness, PC was last updated on June 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# New York Psychological Wellness, Pc · NPI 1477965978
Clinical organization in Bayside, New York. Organization record, active in the CMS NPPES registry since June 2, 2014.
## Identity
- **NPI:** 1477965978 (Entity type: Organization)
- **Enumerated:** June 2, 2014
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Robert Meyers, DIRECTOR
## Practice location
- **Address:** 4640 SPRINGFIELD BLVD, Bayside, NY 11361-3517
- **Phone:** (718) 225-5505
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 2, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1477965978) · Data from the CMS NPPES public registry.