Wendy Hoblitzelle, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1391 Issued in TN

Practice address

617 Potomac PL
Suite 401
Smyrna, TN 37167-5657

Phone

(615) 267-0779

Fax

(615) 625-3371

NPI assigned

Oct 18, 2006

Last updated

Jun 4, 2011By the provider in NPPES

Sex

Female

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

Enrolled in TN

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Yale University School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

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

• Volunteer Behavioral Health Care System

  • Counselor
  • Murfreesboro, TN
  • NPI 1043267107
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307145600000",
    "number": "1326129297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 POTOMAC PL",
            "address_2": "SUITE 401",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675657",
            "telephone_number": "615-267-0779",
            "fax_number": "615-625-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 POTOMAC PL",
            "address_2": "SUITE 401",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675657",
            "telephone_number": "615-267-0779",
            "fax_number": "615-625-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBLITZELLE",
        "first_name": "WENDY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "1391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3681471",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Wayne Hines
• Daniel B Hipps, DDS
• Katie Anne Hirt, FNP-C
• Joshua M Hixson, M.D
• Kara E Hobbs, NP
• Brenda S Hodge, CCC-SLP
• Antavia Denece Holder
• Jonathan Dwayne Holiday, LADC II
• Megan Leigh Holland, OTR/L
• Karie Margaret Holldorf, NP

• Clinical Psychologist in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.