Organization Active NPI

Wesley Ward PH.D LLC

  • Clinical Psychologist
  • Lafayette, IN
National Provider Identifier
1336621291
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WESLEY WARD PH.D LLC
Practice address
100 Saw Mill Rd Ste 3104
Lafayette, IN 47905-5598
Phone
(765) 409-9136
NPI assigned
Sep 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Wesley Ward, PH.D
Title
Psychologist
Phone
(765) 409-9136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

100 Saw Mill Rd Ste 3104
Lafayette, IN 47905-5598

Mailing address

1028 Killian Dr
Mooresville, IN 46158-7995

National Provider Directory

National Provider Directory

Locations

100 Saw Mill Rd
Ste 3104
Lafayette, IN 47905
Phone (317) 362-5984

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1336621291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 KILLIAN DR",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461587995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SAW MILL RD STE 3104",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055598",
            "telephone_number": "765-409-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY WARD PH.D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "765-409-9136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.