Ira Emanuel Wisotzek, PH.D.
NPI 1013924281ActiveIndividual· Psychologist, Clinical· Lyons, NJ
Psychologist, Clinical (PH.D.) in Lyons, New Jersey, licensed in NJ, NY and PA, with an NPI issued in August 2006.
Overview
| NPI | 1013924281 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Aug 1, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 35S100286300 | NJ |
| Psychologist, Clinical | 103TC0700X | 0111941 | NY |
| Psychologist, Clinical | 103TC0700X | PS015502 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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