Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Susan Lynn Wiser , PhD

Psychologist β€’ Ithaca, NY

Active NPI 1376604512 Individual Practitioner Female Practitioner
Practice location in NPPES

121 W Court St
Ithaca, NY 148504105

Call 6072793916 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

121 W Court St

Ithaca, NY 148504105

Telephone 6072793916

NPI first issued

2006

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: NPI first issued

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, β€œDoes 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 Ithaca and New York

27 active clinicians are listed under Psychologist with a practice address in Ithaca, NY (5,046 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Ithaca

14.8% of these 27 clinicians have the CMS telehealth indicator.

14.8% of these 27 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 Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-06
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES NY 014437

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

License # reported to NPPES NY 014437

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.

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: New York Office of the Professions.
Look Up on State Board Site

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location May 06, 2024

Registered at 121 W COURT ST, ITHACA, NY 148504105 (Tel: 6072793916)

πŸ“
Updated Business Mailing Address May 06, 2024

Registered at 301 ASSEMBLY DR UNIT 596, MONTREAT, NC 287578031 (Tel: 6072793916)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2024

Psychologist (license number reported to NPPES: NY 014437)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 120 E BUFFALO ST, SUITE 5, ITHACA, NY 148504266 (Tel: 6075397206)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 3 PEACEFUL DR, ITHACA, NY 148509626 (Tel: 6075397206)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as SUSAN WISER, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (license number reported to NPPES: NY 014437-1)

🟒
Initial NPI Registration & Enumeration December 12, 2006

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1376604512
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2006
Last Update: May 06, 2024
Sole Proprietor: Yes

Other Psychologists in Ithaca

Healthcare providers in Ithaca

Mailing Address

301 Assembly Dr Unit 596

Montreat, NC 287578031

Phone: 6072793916

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.