Individual provider

Robert Wilson, MD

Psychiatry Physician Student in an Organized Health Care Education/Training Program Medicare enrolled

Robert Wilson, MD is a Psychiatry Physician in Port Jefferson Station, NY, registered under NPI 1669001897. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 4 SYLVAN LN, Port Jefferson Station, NY 11776. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4 SYLVAN LN, Port Jefferson Station, NY 11776 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
330502 NY Psychiatry Physician primary

This provider holds licence 330502 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Psychiatry
PAC ID
4981136041

Medicare enrolment is recorded as approved under the provider type Practitioner - Psychiatry. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Psychiatry covers

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. NUCC Health Care Provider Taxonomy, code 2084P0800X
Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2084P0800X Psychiatry Physician Psychiatry 330502 NY primary
390200000X Student in an Organized Health Care Education/Training Program

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1669001897 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 8, 2020
Last updatedJan 9, 2025
StatusActive
Sole proprietorNo
CredentialMD
Practice address 4 SYLVAN LN
Port Jefferson Station, NY 11776
(631) 213-1870
Fax (866) 863-9537
Mailing address 75 N COUNTRY RD
Port Jefferson, NY 11777
This record was updated on Jan 9, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1669001897 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 6 9 0 0 1 8 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 3 9 0 0 2 8 9

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1669001897?
NPI 1669001897 is the National Provider Identifier assigned to Robert Wilson, MD in Port Jefferson Station, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatry cover?
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of…
How do I contact Robert Wilson, MD?
The phone number on file with NPPES is (631) 213-1870, last updated Jan 9, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Robert Wilson, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1669001897 a valid number?
Yes. 1669001897 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.