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WENDY DIANE WILSON-POTH PH.D.
NPI 1912439738
Psychologist - Clinical in Netcong, NJ

Active since March 30, 2017PECOS Enrolled
111 ALLEN ST, NETCONG, NJ 07857(973) 527-4464 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 10, 2019, Mar 30, 2017 (2 updates tracked since 2017).

About Wendy Diane Wilson-poth Ph.d. NPPES

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

WENDY DIANE WILSON-POTH PH.D. (NPI 1912439738) is an individual clinical provider in Netcong, New Jersey, licensed in Texas (38218) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912439738
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameWENDY DIANE WILSON-POTHCredential: PH.D.
Location Address111 ALLEN STNetcong, NJ 07857-1222
Mailing Address111 Allen StNetcong, NJ 07857-1222 · (973) 527-4464
Phone(973) 527-4464
Sole ProprietorYes
Enumeration DateMarch 30, 2017
Last NPPES UpdateDecember 10, 20192 updates tracked since enumeration
✔ NPI 1912439738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in TX · 38218✔ Licensed in NJ · TP: 153-017
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.
111 ALLEN ST, Netcong, NJ 07857
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Other Names 1

Former Name (1)Wendy Diane Wilson Ph.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wendy Diane Wilson-poth Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Wendy Wilson-poth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Archetype Psychological Services, LLC
24 mi
Community/Behavioral Health
444 NORTHFIELD AVE
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey and Texas enrollments
NPI 1952964611 (646) 820-5477

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 07857 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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 Wendy Wilson-poth's NPI number?

The NPI number for Wendy Wilson-poth is 1912439738. It was assigned to this individual provider in the NPPES registry on March 30, 2017. The provider is also known as Wendy Diane Wilson Ph.D..

Where is Wendy Wilson-poth located?

Wendy Wilson-poth practices at 111 Allen St, Netcong, NJ 07857. The listed phone number is (973) 527-4464.

What is Wendy Wilson-poth's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Wendy Wilson-poth enrolled in Medicare?

Yes. Wendy Wilson-poth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wendy Wilson-poth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wendy Wilson-poth reassigns Medicare benefits to Archetype Psychological Services, LLC (West Orange, NJ). 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 Wendy Wilson-poth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wendy Wilson-poth accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Wendy Wilson-poth 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 Wendy Wilson-poth was last updated on December 10, 2019. 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.