Dr. Michelle Marie Wankmuller, Ph.D.
Psychologist, Clinical in Fort Lee, NJ. Individual provider (NPI-1).
NPI number1467917633
StatusActive
Last updated in NPPESFeb 1, 2019
Details
- NPI
- 1467917633
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michelle Marie Wankmuller
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2019
- Last updated
- Feb 1, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 35SI00598800 | NJ | Yes |
Practice location
1605 John St Ste 205bFort Lee, NJ 07024-2581
Phone 917-589-4939
Mailing address
1260 Sleepy Hollow LnScotch Plains, NJ 07076-2230
Phone 917-589-4939
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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