Active NPI
Dustin Wielt, PH.D.
- Clinical Psychologist
- New Orleans, LA
National Provider Identifier
1114286655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1172
- Practice address
- 1601 Perdido St
Southeast Louisiana Veteran Healthcare System
New Orleans, LA 70112-1262 - Phone
- (504) 988-8277
- NPI assigned
- May 3, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1172 | LA | Primary |
Addresses
Primary practice location
1601 Perdido St
Southeast Louisiana Veteran Healthcare System
New Orleans, LA 70112-1262
Mailing address
910 Saint Philip St
Apt #a
New Orleans, LA 70116-2408
Phone (504) 452-8438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1172 | LA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336003200000",
"number": "1114286655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 SAINT PHILIP ST",
"address_2": "APT #A",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701162408",
"telephone_number": "504-452-8438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 PERDIDO ST",
"address_2": "SOUTHEAST LOUISIANA VETERAN HEALTHCARE SYSTEM",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701121262",
"telephone_number": "504-988-8277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIELT",
"first_name": "DUSTIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-03",
"last_updated": "2012-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "1172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.