Wesley Allen Bullock, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3856 Issued in OH

Practice address

2801 W Bancroft St
University of Toledo, Dept. of Psychology # 948
Toledo, OH 43606-3328

Phone

(419) 530-2721

Fax

(419) 530-8479

NPI assigned

Mar 15, 2007

Last updated

Aug 14, 2012By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• University of Toledo Psychology Clinic

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1407057615
  NPD (past) Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1649304452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W BANCROFT ST",
            "address_2": "UNIVERSITY OF TOLEDO, DEPT. OF PSYCHOLOGY # 948",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063328",
            "telephone_number": "419-530-2721",
            "fax_number": "419-530-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W BANCROFT ST",
            "address_2": "UNIVERSITY OF TOLEDO, DEPT. OF PSYCHOLOGY # 948",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063328",
            "telephone_number": "419-530-2721",
            "fax_number": "419-530-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "WESLEY",
        "middle_name": "ALLEN",
        "name_prefix": "Prof.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "3856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmund Trung Bui, RPH
• Malyun Buie
• Mutoba Bukasa
• James J Buldas, ED.D.
• Megan Aja Bullen, MA
• Brianna Danielle Bumbaugh, MSN, APRN, FNP-C
• Ryleah Bumbera, QMHS
• Tamara Bumpus, NP-C
• Katrina Bunch
• Bundling Minds &Visions Better Living Lifestyle

• Clinical Psychologist in Toledo, OH
• Providers in Toledo, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.