MR. DANIEL ELLIOT WYSOCKI LPE-I
NPI 1861748964
Psychologist in Paragould, AR

Active since July 26, 2012Opted out of Medicare · through Feb 23, 2028
1101 W MORGAN ST STE 8, PARAGOULD, AR 72450(870) 335-9483(870) 933-9487 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 24, 2018, Oct 13, 2018, May 23, 2018 and 1 more (4 updates tracked since 2018).

About Mr. Daniel Elliot Wysocki Lpe-i NPPES

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

MR. DANIEL ELLIOT WYSOCKI LPE-I (NPI 1861748964) is an individual psychologist in Paragould, Arkansas, licensed in Arkansas (13-08EI) and active in the NPI registry since July 2012. He has opted out of Medicare through February 23, 2028 and maintains a secondary practice location in Jonesboro.

NPPES Registry Identity

NPI1861748964
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. DANIEL ELLIOT WYSOCKICredential: LPE-I
Location Address1101 W MORGAN ST STE 8Paragould, AR 72450-3949
Mailing Address4852 Gregory CvJonesboro, AR 72401-7943 · (870) 897-0977
Fax(870) 933-9487
Sole ProprietorNo
Enumeration DateJuly 26, 2012
Last NPPES UpdateOctober 24, 20184 updates tracked since enumeration
NPI 1861748964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in AR · 13-08EI
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1101 W MORGAN ST STE 8, Paragould, AR 72450

Secondary Practice Location 1

Location 1522 W Washington AveJonesboro, AR 72401-2780 · Phone (870) 934-8127 · Fax (870) 933-8919

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Daniel Elliot Wysocki Lpe-i 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 February 23, 2026 through February 23, 2028.

Opt-Out Effective DateFebruary 23, 2026
Opt-Out In Effect ThroughFebruary 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Case Manager/Care Coordinator
1101 W MORGAN ST STE 8
PARAGOULD, AR 72450
Case Manager/Care Coordinator
1101 W MORGAN ST STE 8
PARAGOULD, AR 72450
Case Manager/Care Coordinator
1101 W MORGAN ST STE 8
PARAGOULD, AR 72450
Case Manager/Care Coordinator
1101 W MORGAN ST STE 8
PARAGOULD, AR 72450
Case Manager/Care Coordinator
1101 W MORGAN ST STE 8
PARAGOULD, AR 72450
Case Manager/Care Coordinator
1101 W MORGAN ST STE 8
PARAGOULD, AR 72450
Case Manager/Care Coordinator
1101 W MORGAN ST STE 8
PARAGOULD, AR 72450
Case Manager/Care Coordinator
1101 W MORGAN ST STE 8
PARAGOULD, AR 72450

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 Daniel Wysocki's NPI number?

The NPI number for Daniel Wysocki is 1861748964. It was assigned to this individual provider in the NPPES registry on July 26, 2012.

Where is Daniel Wysocki located?

Daniel Wysocki practices at 1101 W Morgan St Ste 8, Paragould, AR 72450. The listed phone number is (870) 335-9483.

What is Daniel Wysocki's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Daniel Wysocki enrolled in Medicare?

No. Daniel Wysocki has opted out of Medicare through February 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Daniel Wysocki accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Daniel Wysocki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel Wysocki was last updated on October 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.