Tara Wheeler, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS017523 Issued in PA

Practice address

987 Old Eagle School Rd
Suite 719
Wayne, PA 19087-1708

Phone

(610) 971-2277

NPI assigned

Jan 22, 2014

Last updated

Jan 22, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jan 1, 2022 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bright Path Therapy & Associates, LLC.

  • Clinical Psychologist
  • Wayne, PA
  • NPI 1477042562
  NPD (past)
• Nancy McCarel, PHD and Associates, LLC

  • Clinical Psychologist
  • Wayne, PA
  • NPI 1851641328
  NPD (past)

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1477976751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 GREEN ST",
            "address_2": "APT. C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191304038",
            "telephone_number": "607-759-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 OLD EAGLE SCHOOL RD",
            "address_2": "SUITE 719",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871708",
            "telephone_number": "610-971-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "TARA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Weller, OT
• Kaitlin Jo Wendling, LMFT
• Catherine C Weng, MD
• Westside Wellness Chiropractic Center
• Sarah Whalen, PSY.D.
• Stephen Anthony Whitaker, OWNER
• Andrea White, L.AC.
• Tracy S Whitman, PT
• Stephanie Wiegert
• John K Wildemore IV, M.D.

• Clinical Psychologist in Wayne, PA
• Providers in Wayne, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.