Active NPI
Nina Elaine Wendt, PH.D.
- Clinical Psychologist
- North Pole, AK
National Provider Identifier
1407970932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 610
- Practice address
- 145 S Santa Claus LN
Unit 2
North Pole, AK 99705-7702 - Phone
- (907) 488-8848
- Fax
- (907) 488-0695
- NPI assigned
- Mar 19, 2007
- Last updated
- Jun 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 311 | MT | |
| Clinical Psychologist | 103TC0700X | 610 | AK | Primary |
Addresses
Primary practice location
145 S Santa Claus LN
Unit 2
North Pole, AK 99705-7702
Mailing address
145 S Santa Claus LN
Unit 2
North Pole, AK 99705-7702
Phone (907) 488-8848
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311 | MT | MD | Clinical Psychologist |
| 610 | AK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundations, LLC | Past | Accepting new patients | |
| Center for Mental Health | Past | Accepting new patients | |
| Hope Counseling Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- North Pole, AK
- NPI 1578977583
-
- Clinical Social Worker
- Fairbanks, AK
- NPI 1689757411
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Great Falls, MT
- NPI 1144251885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1407970932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 S SANTA CLAUS LN",
"address_2": "UNIT 2",
"city": "NORTH POLE",
"state": "AK",
"postal_code": "997057702",
"telephone_number": "907-488-8848",
"fax_number": "907-488-0695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 S SANTA CLAUS LN",
"address_2": "UNIT 2",
"city": "NORTH POLE",
"state": "AK",
"postal_code": "997057702",
"telephone_number": "907-488-8848",
"fax_number": "907-488-0695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDT",
"first_name": "NINA",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MT",
"license": "311",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AK",
"license": "610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Pole, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.