Active NPI
David Andrew Wells, LMLP
- Psychologist
- Overland Park, KS
National Provider Identifier
1740008556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 03301
- Practice address
- 12328 Russell St
Overland Park, KS 66209-2531 - Phone
- (312) 371-6008
- NPI assigned
- Sep 30, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 03301 | KS | Primary |
Addresses
Primary practice location
12328 Russell St
Overland Park, KS 66209-2531
Mailing address
12328 Russell St
Overland Park, KS 66209-2531
Phone (312) 371-6008
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03301 | KS | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1740008556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12328 RUSSELL ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662092531",
"telephone_number": "312-371-6008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12328 RUSSELL ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662092531",
"telephone_number": "312-371-6008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "DAVID",
"middle_name": "ANDREW",
"credential": "LMLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-30",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "03301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.