Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Timothy James Wisniewski, PHD

Individual provider Addiction (Substance Use Disorder) Psychologist · NPI 1154959963

Dr. Timothy James Wisniewski, PHD is a Clinical Psychologist in Albany, New York. Qualified in 2006, 20 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2020
Specialties on file
7
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

845 Central Ave Ste 1
Albany, NY 12206-1514
Phone: (518) 729-3953
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Forensic Psychologist (primary) Taxonomy 103TF0200X · Licence 017817 (NY)
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X · Licence 017817 (NY)
Adult Development & Aging Psychologist Taxonomy 103TA0700X · Licence 017817 (NY)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 017817 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 017817 (NY)
Family Psychologist Taxonomy 103TF0000X · Licence 017817 (NY)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence 017817 (NY)

Record details

NPI number1154959963
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 28, 2020
Last updated in NPPESMarch 28, 2020
Certification dateMarch 28, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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