Organization Active NPI

Nancy Wonder, PH.D. Psychologist, LLC

  • Psychologist
  • Tallahassee, FL
National Provider Identifier
1790288975
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5975 Issued in FL
Legal business name
NANCY WONDER, PH.D. PSYCHOLOGIST, LLC
Practice address
1502 Wekewa Nene
Tallahassee, FL 32301
Phone
(850) 222-7112
Fax
(950) 639-4347
NPI assigned
Mar 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Dr. Nancy M Wonder, PH.D.
Title
Psychologist
Phone
(850) 222-7112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY5975 FL Primary

Addresses

Primary practice location

1502 Wekewa Nene
Tallahassee, FL 32301

Mailing address

1502 Wekewa Nene
Tallahassee, FL 32301-6727
Phone (850) 222-7112

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1790288975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 WEKEWA NENE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323016727",
            "telephone_number": "850-222-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 WEKEWA NENE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32301",
            "telephone_number": "850-222-7112",
            "fax_number": "950-639-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY WONDER, PH.D. PSYCHOLOGIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "WONDER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "850-222-7112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.