Timothy James Wisniewski, PHD
NPI 1154959963ActiveIndividual· Psychologist, Forensic· Albany, NY
Psychologist, Forensic (PHD) in Albany, New York, licensed in NY, with an NPI issued in March 2020. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1154959963 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Mar 28, 2020 |
| Last updated in NPPES | Mar 28, 2020 |
| Certified by provider | Mar 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Forensic Primary | 103TF0200X | 017817 | NY |
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | 017817 | NY |
| Psychologist, Adult Development & Aging | 103TA0700X | 017817 | NY |
| Psychologist, Cognitive & Behavioral | 103TB0200X | 017817 | NY |
| Psychologist, Clinical | 103TC0700X | 017817 | NY |
| Psychologist, Family | 103TF0000X | 017817 | NY |
| Psychologist, Group Psychotherapy | 103TP2701X | 017817 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (NY) |
|---|
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Clinical Psychologist |