Active NPI
Kerri Jean Wheeler, MA, CAS, NCSP
- School Psychologist
- Ellicott City, MD
National Provider Identifier
1306652102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3220
- Practice address
- 2850 N Ridge Rd Ste 208
Ellicott City, MD 21043-3463 - Phone
- (757) 288-8389
- NPI assigned
- Dec 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3220 | MD | Primary |
Addresses
Primary practice location
2850 N Ridge Rd Ste 208
Ellicott City, MD 21043-3463
Mailing address
2850 N Ridge Rd Ste 208
Ellicott City, MD 21043-3463
Phone (757) 288-8389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3220 | MD | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1306652102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 N RIDGE RD STE 208",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433463",
"telephone_number": "757-288-8389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 N RIDGE RD STE 208",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433463",
"telephone_number": "757-288-8389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "KERRI",
"middle_name": "JEAN",
"credential": "MA, CAS, NCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-06",
"last_updated": "2024-12-06",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MD",
"license": "3220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.