Individual provider Active NPI

David Scott Wells, PHD.

  • Clinical Psychologist
  • Cincinnati, OH
National Provider Identifier
1538116587
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4253 Issued in OH
Practice address
4100 Executive Park Dr.
Suite 9
Cincinnati, OH 45241-4000
Phone
(513) 771-8555
Fax
(513) 771-8556
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4253 OH Primary

Addresses

Primary practice location

4100 Executive Park Dr.
Suite 9
Cincinnati, OH 45241-4000

Mailing address

4100 Executive Park Dr.
Suite 9
Cincinnati, OH 45241-4000
Phone (513) 771-8555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041015000272 OH Practitioner - Clinical Psychologist 1658331400 Practice locations: Cincinnati, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Baylor College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4100 Executive Park Dr
Suite 9
Cincinnati, OH 45241-4000
Phone (513) 771-8555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4253OHMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1538116587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 EXECUTIVE PARK DR.",
            "address_2": "SUITE 9",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414000",
            "telephone_number": "513-771-8555",
            "fax_number": "513-771-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 EXECUTIVE PARK DR.",
            "address_2": "SUITE 9",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414000",
            "telephone_number": "513-771-8555",
            "fax_number": "513-771-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PHD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.