Wayne W Krug, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

379 Issued in AL

Practice address

1310 Alford Ave
Suite 201
Birmingham, AL 35226-3199

Phone

(205) 979-6822

Fax

(205) 979-6246

NPI assigned

Oct 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Personal Relationships Inc

  • Community/Behavioral Health Agency
  • Hoover, AL
  • NPI 1841748787
  NPD (past)
• Personal Relationships, Inc.

  • Counseling Psychologist
  • Birmingham, AL
  • NPI 1316959794
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205923919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 ALFORD AVE",
            "address_2": "SUITE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352263199",
            "telephone_number": "205-979-6822",
            "fax_number": "205-979-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 ALFORD AVE",
            "address_2": "SUITE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352263199",
            "telephone_number": "205-979-6822",
            "fax_number": "205-979-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUG",
        "first_name": "WAYNE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "R76438",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhett Gustave Krone, M.D.
• Helen Krontiras
• Jeffrey Clay Krout
• Molly Jane Krue
• Kallie Krueger, DMD
• Amanda Krumrie, DPT
• KT-ABA Alabama LLC
• Tadashi Kuba, M.D.
• Ariane Kubena, MD
• Deepika Kubsad

• Clinical Psychologist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Clinical Psychologist in Alabama

• 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.