Maria T. Waddell, PH.D., HSPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20040300A Issued in IN

Practice address

10291 N Meridian St
Suite 160
Indianapolis, IN 46290-1076

Phone

(317) 833-0553

Fax

(317) 853-1314

NPI assigned

Feb 28, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477681948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10291 N MERIDIAN ST",
            "address_2": "SUITE 160",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901076",
            "telephone_number": "317-833-0553",
            "fax_number": "317-853-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10291 N MERIDIAN ST",
            "address_2": "SUITE 160",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901076",
            "telephone_number": "317-833-0553",
            "fax_number": "317-853-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "MARIA",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "PH.D., HSPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040300A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W3Ig Swap Inc.
• Wabash Medical Company, Inc
• Matthew F Wack, MD
• Amy Melissa Waddell, M.D.
• Kari Vanessa Waddell, MD
• Michael J Waddell, M.D.
• Laura Waddey, LPN
• Daniel Edward Waddle, LMHC
• Angelic Waddy
• Avon'Te C Waddy

• Clinical Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.