The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in St Augustine and Florida

40 active clinicians are listed under Behavior Analyst with a practice address in St Augustine, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in St Augustine

0% of these 40 clinicians have the CMS telehealth indicator.

0% of these 40 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-07-01

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events

📍

Updated Business Mailing Address July 01, 2024

Registered at 264 SAINT GEORGE ST, ST AUGUSTINE, FL 320845050 (Tel: 6034944930)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2024

Behavior Analyst

✅

NPI Profile Active April 11, 2018

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) April 11, 2018

Registered at 124 CAPULET DR, ST AUGUSTINE, FL 320924537 (Tel: 9044293859)

📍

Business Mailing Address (Initial Record) April 11, 2018

Registered at 175 MIDDLE ST UNIT 1201, LAKE MARY, FL 327463625 (Tel: 8666100580)

👤

Provider Name / Credentials (Initial Record) April 11, 2018

Recorded as COLEEN WYSOCKI

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2018

Behavior Technician

🟢

Initial NPI Registration & Enumeration April 11, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1316444847

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 11, 2018

Last Update: July 01, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

264 Saint George St

St Augustine, FL 320845050

Phone: 6034944930

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.