Paul Thomas Wheeler, PH.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT0457 Issued in FL

Practice address

1505 NW 16TH Ave
Suite a
Gainesville, FL 32605-4036

Phone

(352) 373-5107

Fax

(352) 371-0653

NPI assigned

Jun 11, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1811124332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 NW 16TH AVE",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054036",
            "telephone_number": "352-373-5107",
            "fax_number": "352-371-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 NW 16TH AVE",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054036",
            "telephone_number": "352-373-5107",
            "fax_number": "352-371-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "PAUL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT0457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD OF FLORIDA",
            "identifier": "Z0869",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Wheeler, ARNP
• Kathryn Elizabeth Wheeler, MD
• Leighton Michael Joseph Wheeler, DO
• Lindsey K Wheeler, ARNP
• Marissa Kathryn Wheeler, RT (R)(MR)
• Roberta J Wheeler
• Sarah Wheeler, PHARMD
• Timothy Thomas Wheeler, D.M.D., PH.D.
• Ethan Maccoy Whelan
• Elaine M. Whidden, ARNP

• Marriage & Family Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.