WANDA MCENTYRE (PH.D.) – Rehabilitation Psychologist, NPI 1124039847

WANDA MCENTYRE (PH.D.) is a healthcare provider. based in Columbus, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 3889 (OH). The NPI Number for WANDA MCENTYRE (PH.D.) is 1124039847

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
WANDA MCENTYRE (PH.D.)
NPI
1124039847
Phone
(614) 688-6400
Address
543 Taylor Ave Ste 3002
Enumeration Date
10 August 2006
Last Update Date
22 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6142937604
Graduation Year
1985 (41 years ago)
PAC ID
9133393697
Group Practice PAC ID
7012960644
Professional Enrollment ID
I20111117000730
Address ID
OH432101229CO480XXDRXX400
Telehealth
Yes

Contacts

Secure Messaging
wmcentyre43746@direct.osumc.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for WANDA MCENTYRE (PH.D.)

  • 543 Taylor Ave Ste 3002

    Columbus, OH 432031278

    Phone: (614) 688-6400

    Type: Location

  • 700 ACKERMAN RD STE 2120

    COLUMBUS, OH 432021559

    Phone: (614) 293-3830

    Fax: (614) 293-4870

    Type: Mailing

  • 480 MEDICAL CENTER DR STE 2145

    COLUMBUS, OH 432101229

    Phone: (614) 293-3830

    Fax: (614) 293-4870

    Type: Location

  • 1145 OLENTANGY RIVER RD FL 1

    COLUMBUS, OH 432123117

    Phone: (614) 366-8700

    Fax: (614) 293-7264

    Type: Location

  • Davis Medical Center, 480, Medical Center Drive, NECKO, Columbus, Franklin, Ohio, 43210, United States

    COLUMBUS, OH 432101229

    Phone: (614) 293-7604

    Fax: (614) 366-3809

    Type: Mailing

  • West 9th Avenue, Peach District, University District District 4, Columbus, Sharon, Franklin County, Ohio, 43201, United States

    COLUMBUS, OH 43210

    Phone: (614) 293-7604

    Fax: (614) 366-3809

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111117000730IClinical PsychologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes8425$0
90837Psychotherapy, 1 hour3820$0
90791Psychiatric diagnostic evaluation1919$0
View full utilization report →

Insurance plans in this area (ZIP 43203)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012960644View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationOH
Clinical PsychologistOH
Clinical PsychologistOH
Physical Medicine And RehabilitationCT
-OH
Physical Medicine And RehabilitationOH
Nurse PractitionerOH
Clinical PsychologistOH
Clinical PsychologistOH
Physical Medicine And RehabilitationPA

Reviews

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Frequently asked questions

What unique ID ties claims to WANDA MCENTYRE (PH.D.)?
NPI 1124039847 is assigned to WANDA MCENTYRE (PH.D.) under the national enumeration system.
Is WANDA MCENTYRE (PH.D.) active in the national directory?
WANDA MCENTYRE (PH.D.)'s public NPI profile is in an active state.
Does WANDA MCENTYRE (PH.D.) list a primary specialty?
If you are matching referrals, note Rehabilitation Psychologist for WANDA MCENTYRE (PH.D.). Clinical services aligned with this taxonomy classification.
Where is WANDA MCENTYRE (PH.D.)'s primary listing?
We display Columbus, Ohio because that is what the record indicates for WANDA MCENTYRE (PH.D.).
Is WANDA MCENTYRE (PH.D.) a real provider?
This page reflects official NPPES data for NPI 1124039847. Always confirm identity and privileges with the practice and licensing boards.

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