Elizabeth Werly, PSY D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.009107 Issued in IL

Practice address

650 Joel Dr
Fort Campbell, KY 42223-5318

Phone

(270) 798-1546

NPI assigned

Jun 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1891176681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 GLENDALE RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043448",
            "telephone_number": "614-580-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-798-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERLY",
        "first_name": "ELIZABETH",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda C Welch, PHARM.D.
• Stephanie Welch, REGISTERED DIETITIAN
• Debora Renia Wells-McManus, LCSW
• Ruth F Wells
• Eric Henry Weppler, D.O.
• Erin West, LAT, ATC
• Corina Marie Wettlaufer
• Robert Whealton
• Benjamin Wheeler, DO
• Carissa White

• Clinical Psychologist in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.