Jaquitta Denise Wells

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

Practice address

1013 Evangeline Rd Apt 2
Cleveland, OH 44110-3192

Phone

(216) 413-1538

NPI assigned

Oct 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1831798446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 EVANGELINE RD APT 2",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441103192",
            "telephone_number": "216-413-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 EVANGELINE RD APT 2",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441103192",
            "telephone_number": "216-413-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JAQUITTA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne D Wells, S.W.
• Elizabeth J Wells, PHARMD
• Gerrell Wells
• Isabel Sierra Wells, BA, RBT
• Jamie Marie Wells
• Jeff Wells, D.M.D.
• Jennifer Elizabeth Wells, AGACNP-BC
• Kristen Wells, CRNA
• Linda Jean Wells
• Madison N Wells, SWT, QMHS, CMS

• Health Service Psychologist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Health Service Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.