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

Willo Wisotsky, PHD

Individual provider Cognitive & Behavioral Psychologist · NPI 1265679039

Willo Wisotsky, PHD is a Clinical Psychologist in Commack, New York. Qualified in 2003, 23 years ago. Practices with Premier Bariatric New Jersey PC, a 20-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
23
Licensed in
NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

35 Crooked Hill Rd Ste 203
Commack, NY 11725-5415
Phone: (631) 804-8830
Show map & directions

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

Specialties & licences

Health Psychologist (primary) Taxonomy 103TH0004X · Licence 016173 (NY)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 016173 (NY)

Record details

NPI number1265679039
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 14, 2009
Last updated in NPPESSeptember 6, 2018
Mailing address35 Crooked Hill Rd, Commack, NY 11725-5415

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Premier Bariatric New Jersey Pc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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