Wieland & Associates, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20041419A Issued in IN

Legal business name

WIELAND & ASSOCIATES, INC.

Practice address

11123 Parkview Plaza Dr
Suite 200
Fort Wayne, IN 46845

Phone

(260) 672-6510

Fax

(260) 672-6501

NPI assigned

Feb 5, 2014

Last updated

Feb 5, 2014By 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

Dr. Kevin Lee Wieland, PSY. D., HSPPNPI 1497737902

Title

President

Phone

(260) 483-7207

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin L. Wieland, PSY.D., HSPP

  • Clinical Psychologist
  • Fort Wayne, IN
  • NPI 1497737902
  NPD (past) Authorized official

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1114341559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 MAGNAVOX WAY",
            "address_2": "SUITE 120",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041553",
            "telephone_number": "260-483-7207",
            "fax_number": "260-483-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11123 PARKVIEW PLAZA DR",
            "address_2": "SUITE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46845",
            "telephone_number": "260-672-6510",
            "fax_number": "260-672-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIELAND & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "WIELAND",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-483-7207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D., HSPP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20041419A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200360310A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alex Marshall Wiedenhoeft, PA-C
• Tova Wiegand, LMHC
• James Harold Wiegerink
• Andrew Wieging, MD
• Jarrod Michael Wiegman, MD
• Wieland Associates, Inc.
• Kevin L. Wieland, PSY.D., HSPP
• Stephanie Wielosinski
• Wendy Wierzbowski
• Michelle Elise Wiese, MD

• Psychologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.