Active NPI
Wesley Ward PH.D LLC
- Clinical Psychologist
- Lafayette, IN
National Provider Identifier
1336621291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.