KEITH WOYTHALER PSYCHOLOGIST, P.C.
NPI 1952815565
Psychologist - Clinical in Rockville Centre, NY

Q: What is Keith Woythaler Psychologist, P.C.'s NPI number?

The NPI number for Keith Woythaler Psychologist, P.C. is 1952815565. It was assigned to this organization in the NPPES registry on November 20, 2017.

Q: What is Keith Woythaler Psychologist, P.C.'s specialty?

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

Active since November 20, 2017

100 N VILLAGE AVE STE 11, ROCKVILLE CENTRE, NY 11570(516) 851-5381 Get Directions Write a Review

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

Record update history: Aug 18, 2020, Nov 20, 2017 (2 updates tracked since 2017).

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About Keith Woythaler Psychologist, P.c. NPPES

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

KEITH WOYTHALER PSYCHOLOGIST, P.C. (NPI 1952815565) is a healthcare organization registered as a clinical in Rockville Centre, New York and active in the NPI registry since November 2017. The organization lists Keith Woythaler, Owner, as its authorized official.

NPPES Registry Identity

NPI1952815565

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameKEITH WOYTHALER PSYCHOLOGIST, P.C.

Location Address100 N VILLAGE AVE STE 11Rockville Centre, NY 11570-3712

Mailing Address112 N Forest AveRockville Centre, NY 11570-4304 · (516) 851-5381

Phone(516) 851-5381

Organization SubpartNo

Authorized OfficialKeith WoythalerOwner · (516) 851-5381

Enumeration DateNovember 20, 2017

Last NPPES UpdateAugust 18, 20202 updates tracked since enumeration

NPPES CertifiedAugust 18, 2020

✔ NPI 1952815565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith Woythaler Psychologist, P.c. 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 Keith Woythaler Psychologist, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Keith Woythaler, PH.D.

Clinical Psychologist

NPI 1548415953

100 N VILLAGE AVE STE 11
Rockville Centre, NY 11570

(516) 690-9555

✔ PECOS✔ Accepts MedicareSame address

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 Keith Woythaler Psychologist, P.C.'s NPI number?

The NPI number for Keith Woythaler Psychologist, P.C. is 1952815565. It was assigned to this organization in the NPPES registry on November 20, 2017.

Where is Keith Woythaler Psychologist, P.C. located?

Keith Woythaler Psychologist, P.C. is located at 100 N Village Ave Ste 11, Rockville Centre, NY 11570. The listed phone number is (516) 851-5381.

What is Keith Woythaler Psychologist, P.C.'s specialty?

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

Is Keith Woythaler Psychologist, P.C. enrolled in Medicare?

Yes. Keith Woythaler Psychologist, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keith Woythaler Psychologist, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Keith Woythaler Psychologist, P.C.. 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 Keith Woythaler Psychologist, P.C. 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.