MARK WIELGUS PH.D.
NPI 1295045706
Psychologist - Clinical in Glen Cove, NY
NPI Status: Active since October 18, 2010
Contact Information
141 DOSORIS LN
GLEN COVE, NY
ZIP 11542
Phone: (516) 676-1100
Fax: (516) 579-0216
- Individual
- Male
- Psychologist
- Clinical
- PECOS Enrolled
About MARK WIELGUS
This page provides the complete NPI Profile along with additional information for Mark Wielgus, a provider established in Glen Cove, New York with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1295045706 assigned on October 2010. The practitioner's primary taxonomy code is 103TC0700X with license number 009602 (NY). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1295045706
- Provider Name
- MARK WIELGUS PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 141 DOSORIS LN GLEN COVE, NY 11542
- Location Phone
- (516) 676-1100
- Location Fax
- (516) 579-0216
- Mailing Address
- 303 MERRICK RD SUITE 204 LYNBROOK, NY 11563
- Mailing Phone
- (800) 725-6280
- Mailing Fax
- (516) 579-0216
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-18-2010
- Last Update Date
- 10-18-2010
- Code Navigator
A clinical psychologist like Mark Wielgus assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 009602
- License State
- NY
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Mark Wielgus is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Psychiatric diagnostic evaluation
Psychotherapy, 30 minutes
Psychotherapy, 45 minutes
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
This service was performed 52 times for 51 patientsPsychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
This service was performed 49 times for 17 patientsPsychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
This service was performed 89 times for 24 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 11542 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $203.53
- Minimum New Patient Price $67.4
- Maximum New Patient Price $203.53
- Average New Patient Copayment $50.88
- Minimum New Patient Copayment $16.85
- Maximum New Patient Copayment $50.88
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $117.62
- Minimum Established Patient Price $21.66
- Maximum Established Patient Price $164.45
- Average Established Patient Copayment $29.4
- Minimum Established Patient Copayment $5.41
- Maximum Established Patient Copayment $41.11
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 9 | 5 | 0 | 4 | 5 | 7 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 0 | 4 | 10 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 0 + 4 + 1 + 0 + 7 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1295045706 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063430700 | PAUL HERMAN PH.D. Individual | Psychologist (Clinical) | 141 DOSORIS LN GLEN COVE, NY 11542 (516) 676-1100 |
| 1396809117 | DR. MARIA TORROELLA CARNEY M.D. Individual | Internal Medicine (Geriatric Medicine) | 141 DOSORIS LN GLEN COVE, NY 11542 (516) 676-6945 |
| 1174520704 | GLENGARIFF CORPORATION Organization | Skilled Nursing Facility | 141 DOSORIS LN GLEN COVE, NY 11542 (516) 676-1100 |
| 1821480237 | GLENGARIFF DIALYSIS CENTER LLC Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 141 DOSORIS LN GLEN COVE, NY 11542 (516) 676-1100 |
| 1124170923 | CHARLES ALFRED NYS . OTA Individual | Occupational Therapy Assistant | 141 DOSORIS LN GLENGARIFF HEALTH CARE CENTER GLEN COVE, NY 11542 (516) 676-1100 |
| 1295047868 | CHARISSE JOLO Individual | Physical Therapist | 141 DOSORIS LN GLEN COVE, NY 11542 (516) 676-1100 |
| 1750389763 | NYU WINTHROP HOSPITAL Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 141 DOSORIS LN GLEN COVE, NY 11542 (516) 663-9020 |
| 1477024966 | GLENGARIFF OPERATING LLC Organization | Skilled Nursing Facility | 141 DOSORIS LN GLEN COVE, NY 11542 (516) 676-1100 |
| 1801478813 | MARIA ADOR RN Individual | Registered Nurse | 141 DOSORIS LN GLEN COVE, NY 11542 (516) 676-1100 |
| 1770290447 | RIAZ MEDICAL CARE PLLC Organization | Internal Medicine | 141 DOSORIS LN GLEN COVE, NY 11542 (917) 336-8422 |
| 1083461578 | FAROQUE MOHEMMED BABUR CHOWDHURY MD Individual | Internal Medicine | 141 DOSORIS LN GLEN COVE, NY 11542 (516) 676-1100 |
| 1518420405 | DR. LENAR LATYPOV MD Individual | Student in an Organized Health Care Education/Training Program | 141 DOSORIS LN GLEN COVE, NY 11542 (516) 676-1100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295045706, enumerated in the NPI registry as an "individual" on October 18, 2010
The provider is located at 141 Dosoris Ln Glen Cove, Ny 11542 and the phone number is (516) 676-1100
The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $203.53 with an average copayment of $50.88 for new patient appointments. Established patients should expect a typical charge of $117.62 and an average copayment of 29.4. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Psychiatric diagnostic evaluation, Psychotherapy, 30 minutes and Psychotherapy, 45 minutes.
This NPI record was last updated on October 18, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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