Charles Wisniewski, D.O.
NPI 1770997587 · Adolescent and Children Mental Health Clinic/Center · Philadelphia, PA
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charles Wisniewski, D.O. is a Adolescent and Children Mental Health Clinic/Center provider in Philadelphia, PA (NPI 1770997587).
Provider details
- NPI number
- 1770997587
- Entity type
- Individual
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- OS019121 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 130 S Bryn Mawr AveBryn Mawr, PA 19010-3121Phone: (484) 337-4286Fax: (484) 337-4293
Registry dates
- Enumerated
- 2014-06-19
- Last updated
- 2018-10-12
Frequently asked questions
- What is Charles Wisniewski's NPI number?
- Charles Wisniewski's National Provider Identifier (NPI) is 1770997587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Wisniewski's specialty?
- Charles Wisniewski is listed in the NPPES registry with a primary specialty of Adolescent and Children Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Charles Wisniewski located?
- Charles Wisniewski's practice location on file with NPPES is 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343.
- What is Charles Wisniewski's phone number?
- The practice phone number listed in the NPPES registry for Charles Wisniewski is (215) 831-2600.
- Does Charles Wisniewski accept Medicare?
- Charles Wisniewski is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Charles Wisniewski's NPI active?
- Yes — Charles Wisniewski's NPI (1770997587) is active in the NPPES registry as of the last update on 2018-10-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.