Cody Weller, LEP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LEP4136 Issued in CA

Practice address

2601 El Portal Dr
Bakersfield, CA 93309-5333

Phone

(661) 363-3111

NPI assigned

Aug 11, 2021

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1235804295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22732",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933902732",
            "telephone_number": "661-237-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 EL PORTAL DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933095333",
            "telephone_number": "661-363-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15524 Waterford St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933144359",
            "country_code": "US",
            "telephone_number": "661-330-0215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLER",
        "first_name": "CODY",
        "credential": "LEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-11",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "LEP4136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William W Weisman, OD
• Kathleen Dorey Weiss
• Jessica Welch
• Lisa Cristina Welch, PSYD
• Mamie Denise Welch, CATC
• Elizabeth Margarette Welliver
• Laura Wells
• Laura Anissa Wells
• Michael V Wells, M.D.
• Rebeca Marie Lee Wells, MFT, RN

• Psychologist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.