Robert L. Welker, PHD

Primary specialty

Psychoanalysis PsychologistTaxonomy code 103TP0814X

License

1380 Issued in WI

Practice address

250 W Coventry CT
Suite 209
Glendale, WI 53217-3972

Phone

(414) 351-7726

Fax

(414) 351-7721

NPI assigned

Jun 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083656987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W COVENTRY CT",
            "address_2": "SUITE 209",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173972",
            "telephone_number": "414-351-7726",
            "fax_number": "414-351-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W COVENTRY CT",
            "address_2": "SUITE 209",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173972",
            "telephone_number": "414-351-7726",
            "fax_number": "414-351-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELKER",
        "first_name": "ROBERT",
        "middle_name": "L.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "WI",
            "license": "1380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39076100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychoanalysis Psychologist in Glendale, WI
• Providers in Glendale, WI by specialty
• Psychoanalysis Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.