DR. KEITH WOYTHALER PH.D.
NPI 1548415953
Psychologist - Clinical in Rockville Centre, NY
About Dr. Keith Woythaler Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEITH WOYTHALER PH.D. (NPI 1548415953) is an individual clinical provider in Rockville Centre, New York, licensed in New York (017909) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Keith Woythaler 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.
Medicare Billing Reassignment
Medicare enrollment records show Keith Woythaler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockville Centre, NY 11570
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Keith Woythaler, Psychologist, PC
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11570 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCKVILLE CENTRE, NY 11570
ROCKVILLE CENTRE, NY 11570
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 Keith Woythaler's NPI number?
The NPI number for Keith Woythaler is 1548415953. It was assigned to this individual provider in the NPPES registry on November 26, 2008.
Where is Keith Woythaler located?
Keith Woythaler practices at 100 N Village Ave Ste 11, Rockville Centre, NY 11570. The listed phone number is (516) 690-9555.
What is Keith Woythaler's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Keith Woythaler enrolled in Medicare?
Yes. Keith Woythaler 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.
Which organization bills Medicare for Keith Woythaler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Woythaler reassigns Medicare benefits to Keith Woythaler Psychologist, P.C. (Rockville Centre, NY). The 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 Keith Woythaler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Keith Woythaler was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Keith Woythaler, PH.D. · NPI 1548415953
Clinical provider in Rockville Centre, New York. Individual provider, active in the CMS NPPES registry since November 26, 2008.
## Identity
- **NPI:** 1548415953 (Entity type: Individual)
- **Enumerated:** November 26, 2008
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 017909 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 N VILLAGE AVE STE 11, Rockville Centre, NY 11570
- **Phone:** (516) 690-9555
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Keith Woythaler Psychologist, P.C. (NPI 1952815565, Rockville Centre, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** August 18, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1548415953) · Data from the CMS NPPES public registry.