Active NPI
Wendy Jean Pauluk, PSY.D
- Clinical Psychologist
- Sun City, AZ
National Provider Identifier
1649388760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4066
- Practice address
- 9421 W Bell Rd
Suite 107
Sun City, AZ 85351-1361 - Phone
- (623) 583-2900
- Fax
- (623) 583-2700
- NPI assigned
- Aug 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY0419 | NV | |
| Clinical Psychologist | 103TC0700X | 4066 | AZ | Primary |
Addresses
Primary practice location
9421 W Bell Rd
Suite 107
Sun City, AZ 85351-1361
Mailing address
9421 W. Bell Road
Suite 107
Sun City, AZ 85351
Phone (623) 583-2900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 476024 | Other | AZ | ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM |
| 002602095 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Current | Accepting new patients |
Interoperability endpoints
- wendypauluk@tdh.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1649388760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9421 W. BELL ROAD",
"address_2": "SUITE 107",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "85351",
"telephone_number": "623-583-2900",
"fax_number": "623-583-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9421 W BELL RD",
"address_2": "SUITE 107",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853511361",
"telephone_number": "623-583-2900",
"fax_number": "623-583-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULUK",
"first_name": "WENDY",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NV",
"license": "PY0419",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "4066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM",
"identifier": "476024",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002602095",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.