Devin Mychael Wiggles

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6067 Decatur Blvd
Indianapolis, IN 46241-9606

Phone

(317) 856-5201

NPI assigned

Nov 21, 2023

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1255106076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39216",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462390216",
            "telephone_number": "317-444-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6067 DECATUR BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462419606",
            "telephone_number": "317-856-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGLES",
        "first_name": "DEVIN",
        "middle_name": "MYCHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter L Wiethe, MA, LMHC
• Jay Foster Wigboldy, MD
• Wigeon Emergency Physicians LLC
• Aretha Wiggins
• Karin Doyle Wiggins
• Rhiannon Wiggs, RBT
• Deemantha Gayan Fernando Wijekulasooriyage, MD
• H R Sagara Wijeratne
• Neshahthari Wijeyakuhan, MD
• Kelly Nicole Wikse, PA-C

• Behavior Technician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.