What is Edgar Wolgamot's NPI number?

Edgar Wolgamot's National Provider Identifier (NPI) is 1417053612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Edgar Wolgamot's specialty?

Edgar Wolgamot is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).

Where is Edgar Wolgamot located?

Edgar Wolgamot's practice location on file with NPPES is 6615 N Big Hollow Rd, Peoria, IL 61615-2451.

What is Edgar Wolgamot's phone number?

The practice phone number listed in the NPPES registry for Edgar Wolgamot is (309) 692-6622.

Is Edgar Wolgamot's NPI active?

Yes — Edgar Wolgamot's NPI (1417053612) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Edgar Wolgamot, PSYD

NPI 1417053612 · Counselor · Peoria, IL

Edgar Wolgamot, PSYD is a Counselor provider in Peoria, IL (NPI 1417053612).

Provider details

NPI number: 1417053612
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Credential: PSYD
Sex: Male
Sole proprietor: No

Specialties & taxonomies

CounselorPrimary101Y00000X
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(84/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

6615 N Big Hollow Rd

Peoria, IL 61615-2451

Phone: (309) 692-6622

Fax: (309) 692-6952

Street-level locationGet directions

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Mailing address