Individual provider Active NPI

Robert Nash Wendt, PH.D.

  • Family Psychologist
  • Toledo, OH
National Provider Identifier
1629005202
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
2297 Issued in OH
Practice address
3454 Oak Alley CT
Suite 305
Toledo, OH 43606-1306
Phone
(419) 534-2468
Fax
(419) 534-2397
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist 103TF0000X 2297 OH Primary

Addresses

Primary practice location

3454 Oak Alley CT
Suite 305
Toledo, OH 43606-1306

Mailing address

3432 Corey Rd
Toledo, OH 43615-1651
Phone (419) 843-5358

Other identifiers 1

IdentifierTypeStateIssuer
0407910MedicaidOH

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
I20100412000098 OH Practitioner - Clinical Psychologist 9830225382 Practice locations: Toledo, OH

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2297OHMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629005202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 COREY RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151651",
            "telephone_number": "419-843-5358",
            "fax_number": "419-534-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT",
            "address_2": "SUITE 305",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061306",
            "telephone_number": "419-534-2468",
            "fax_number": "419-534-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDT",
        "first_name": "ROBERT",
        "middle_name": "NASH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "OH",
            "license": "2297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0407910",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.