Wayne James Harper, EDD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1069 Issued in KY

Practice address

138 Evergreen Rd
Suite 105
Louisville, KY 40243-1410

Phone

(502) 882-1831

Fax

(502) 365-3015

NPI assigned

May 5, 2006

Last updated

Sep 25, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 11

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

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Dr Charles Bensenhaver III LLC

  • Obesity Medicine (Psychiatry & Neurology) Physician
  • Louisville, KY
  • NPI 1962108118
  NPD (past)
• Larry M. Raskin, PH.D., P.S.C.

  dba Psychology Resource Group

  • Psychologist
  • Louisville, KY
  • NPI 1952389389
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1629026125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436503",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402536503",
            "telephone_number": "502-882-1831",
            "fax_number": "502-365-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 EVERGREEN RD",
            "address_2": "SUITE 105",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431410",
            "telephone_number": "502-882-1831",
            "fax_number": "502-365-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "WAYNE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WH MAGELLAN ANTHEM",
            "identifier": "090226000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PSYCHOLOGIST",
            "identifier": "1069",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WH UBH CLAIMS UT",
            "identifier": "312226",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WH ANTHEM FEP FED EMP PRO",
            "identifier": "000000383490",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WH ADMINISTAR FEDERAL",
            "identifier": "0682204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WH BLUE CROSS BLUE SHIELD",
            "identifier": "000000383490",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WH CORPHEALTH CLAIMS",
            "identifier": "611131420",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WH HUMANA CLAIMS OFC LEX",
            "identifier": "611131420",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WH VALUE OPTIONS INC",
            "identifier": "155537",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901069800",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH CARE",
            "identifier": "171301561",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Harper
• Nealia Harper
• Savannah Harper
• Stefanie Harper
• Thomas Wayne Harper, MD
• Zachary Harper
• John E Harpring, MD
• Leah Marie Harpring, CRNA
• Ellen Ann Harpster, D.M.D.
• Evan M Harpster

• Clinical Psychologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.