Midwest Forensic Neuropsychological Assessments

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

Legal business name

MIDWEST FORENSIC NEUROPSYCHOLOGICAL ASSESSMENTS

Practice address

1415 Magnavox Way Ste 130
Fort Wayne, IN 46804-1553

Phone

(260) 484-4234

Fax

(260) 483-0836

NPI assigned

Jul 28, 2026

Last updated

Jul 28, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lara W. Wieland

Title

President

Phone

(260) 224-1798

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1033031216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 MAGNAVOX WAY STE 130",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041553",
            "telephone_number": "260-484-4234",
            "fax_number": "260-483-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MAGNAVOX WAY STE 130",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041553",
            "telephone_number": "260-484-4234",
            "fax_number": "260-483-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST FORENSIC NEUROPSYCHOLOGICAL ASSESSMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "WIELAND",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-224-1798",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.