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DR. KEITH WOYTHALER PH.D.
NPI 1548415953
Psychologist - Clinical in Rockville Centre, NY

Active since November 26, 2008PECOS EnrolledAccepts Medicare Assignment
100 N VILLAGE AVE STE 11, ROCKVILLE CENTRE, NY 11570(516) 690-9555 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2020, Aug 2, 2018, Jul 20, 2018 (3 updates tracked since 2018).

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

NPI1548415953
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KEITH WOYTHALERCredential: PH.D.
Location Address100 N VILLAGE AVE STE 11Rockville Centre, NY 11570
Mailing Address100 N Village Ave Ste 11Rockville Centre, NY 11570-3712 · (516) 690-9555
Phone(516) 690-9555
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 26, 2008
Last NPPES UpdateAugust 18, 20203 updates tracked since enumeration
NPPES CertifiedAugust 18, 2020
✔ NPI 1548415953 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 · 017909
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.
100 N VILLAGE AVE STE 11, Rockville Centre, NY 11570
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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 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.

PECOS PAC ID5496810756
PECOS Enrollment IDI20180123003103
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 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.

New Patient
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 2

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

DR. MEREDITH C OWENS PH.D.
Psychologist (Cognitive & Behavioral)
100 N VILLAGE AVE STE 11
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 441-2240
KEITH WOYTHALER PSYCHOLOGIST, P.C.
Psychologist (Clinical)
100 N VILLAGE AVE STE 11
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 851-5381

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.

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 5 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.