Active NPI
Wayne L Chappelle Sr., PSY.D.
- Clinical Psychologist
- Wright Patterson Afb, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2874
- Practice address
- 2510 Fifth Street, Usafsam, BLDG 840
Wright Patterson Afb, OH 45433 - Phone
- (937) 938-2706
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2874 | NC | Primary |
Addresses
Primary practice location
2510 Fifth Street, Usafsam, BLDG 840
Wright Patterson Afb, OH 45433
Mailing address
2510 Fifth Street BLDG 840 Area B
Wright Patterson Afb, OH 45433
Phone (937) 938-2706
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 E Alex Bell Rd
Dayton, OH 45459-2637
Phone (937) 436-9700
2270 Park Hills Dr
Fairborn, OH 45324-3993
Phone (855) 245-9112
425 Lauricella CT
Englewood, OH 45322-0340
Phone (937) 836-5143
6800 Paragon Rd
Dayton, OH 45459-3166
Phone (937) 438-0054
7300 McEwen Rd
Dayton, OH 45459-3903
Phone (937) 433-3444
7383 Paragon Rd
Dayton, OH 45459-4119
Phone (937) 999-2586
7800 Dayton Springfield Rd
Fairborn, OH 45324-1997
Phone (937) 203-8449
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2874 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Post-Acute Medical Services 1 Inc | Current | Accepting new patients | |
| NV Pacs 2 LLC | Current | Accepting new patients | |
| CS Pacs 3 Midwest LLC | Current | Accepting new patients | |
| Mi Pacs 2 PC | Past | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
425 Lauricella Ct
Englewood, OH 45322
Phone (937) 836-5143
Organizations & group practices 4
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
- Englewood, OH
- NPI 1215475199
-
- Hospitalist Physician
- Dayton, OH
- NPI 1972368785
-
- Hospitalist Physician
- Northville, MI
- NPI 1205418357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417392000000",
"number": "1720056690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 FIFTH STREET BLDG 840 AREA B",
"city": "WRIGHT PATTERSON AFB",
"state": "OH",
"postal_code": "45433",
"telephone_number": "937-938-2706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 FIFTH STREET, USAFSAM, BLDG 840",
"city": "WRIGHT PATTERSON AFB",
"state": "OH",
"postal_code": "45433",
"telephone_number": "937-938-2706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPPELLE",
"first_name": "WAYNE",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2014-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "2874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wright Patterson Afb, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.