Douglas Dayne Wells, M.A., L.P.P.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

KY-0095 Issued in KY

Practice address

2204 Kentucky Ave
Paducah, KY 42003-3242

Phone

(270) 442-8785

Fax

(270) 443-1784

NPI assigned

May 6, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Julie Kraus Hideg PSYD and Associates PLLC

  dba Psychological Associates of Paducah, Inc

  • Clinical Psychologist
  • Paducah, KY
  • NPI 1053534404
  NPD (past)

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1144512328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 KENTUCKY AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033242",
            "telephone_number": "270-442-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 KENTUCKY AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033242",
            "telephone_number": "270-442-8785",
            "fax_number": "270-443-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "DOUGLAS",
        "middle_name": "DAYNE",
        "name_prefix": "Mr.",
        "credential": "M.A., L.P.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-06",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "KY-0095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breelyn Ashby Weir
• Bradley Joseph Weitlauf
• Leslie Weitlauf, P.T.
• Lisa Diane Welch, OTR/L
• Wellington Parc Health Systems, Inc. (Wellington Parc of Paducah)
• Wellsprings Institute, PLLC (WellSprings Dermatology)
• Deborah D Welsh, APRN
• Emily Ann Welshenbaugh
• Kimberly G Wenzsherrill, LCSW
• West End Eye Care, LTD.

• Psychologist in Paducah, KY
• Providers in Paducah, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.