NPIMap

Organization Active NPI

Wells Psychological

  • Clinical Psychologist
  • Virginia Beach, VA
National Provider Identifier
1730042979
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WELLS PSYCHOLOGICAL
Practice address
510 S Independence Blvd Ste 200
Virginia Beach, VA 23452-1155
Phone
(757) 276-1160
NPI assigned
Dec 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Dr. Nicole Kreiser Wells, PHDNPI 1356746614
Title
Clinical Psychologist
Phone
(757) 276-1160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

510 S Independence Blvd Ste 200
Virginia Beach, VA 23452-1155

Mailing address

510 S Independence Blvd Ste 200
Virginia Beach, VA 23452-1155

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1730042979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S INDEPENDENCE BLVD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S INDEPENDENCE BLVD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521155",
            "telephone_number": "757-276-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS PSYCHOLOGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "KREISER",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "757-276-1160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.