Individual provider Active NPI

Ryan Glenn Wetzler, PSY.D., DBSM, ABPP

  • Health Psychologist
  • Louisville, KY
National Provider Identifier
1538179577
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
License
129449 Issued in KY
Practice address
1700 Ups Dr Ste 104
Louisville, KY 40223-4046
Phone
(502) 822-1320
Fax
(844) 825-9171
NPI assigned
Aug 9, 2006
Last updated
May 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 129449 KY
Cognitive & Behavioral Psychologist 103TB0200X 129449 KY
Clinical Psychologist 103TC0700X 129449 KY
Sleep Specialist (PhD) 173F00000X 129449 KY
Health Psychologist 103TH0004X 129449 KY Primary

Addresses

Primary practice location

1700 Ups Dr Ste 104
Louisville, KY 40223-4046

Mailing address

1700 Ups Dr Ste 104
Louisville, KY 40223-4046
Phone (502) 822-1320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20041214000557 KY Practitioner - Clinical Psychologist 4880651538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sleep Health Center PLLCGroup PAC ID 8325383268, 2 clinicians

Practice addresses (Care Compare)

130 Fairfax Ave
Suite 100C
Louisville, KY 40207-4948
Phone (502) 822-1320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
129449KYMDClinical Psychologist
1399KYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Health Center, PLLC Health CurrentSince Oct 18, 2018 Accepting new patients

Locations

1700 Ups Dr
Ste 104
Louisville, KY 40223
Phone (502) 822-1320

130 Fairfax Ave
Ste 100C
Saint Matthews, KY 40207
Phone (502) 822-1320

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1538179577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UPS DR STE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234046",
            "telephone_number": "502-822-1320",
            "fax_number": "844-825-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 UPS DR STE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234046",
            "telephone_number": "502-822-1320",
            "fax_number": "844-825-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZLER",
        "first_name": "RYAN",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "PSY.D., DBSM, ABPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "129449",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "KY",
            "license": "129449",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "129449",
            "primary": false
        },
        {
            "code": "173F00000X",
            "taxonomy_group": "",
            "desc": "Sleep Specialist, PhD",
            "state": "KY",
            "license": "129449",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "KY",
            "license": "129449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.