Individual provider Active NPI

Kirk Edwin Wheeler, PH.D.-HSPP

  • Clinical Psychologist
  • Indianapolis, IN
National Provider Identifier
1902933252
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20040639A Issued in IN
Practice address
201 S Capitol Ave Ste 610
Indianapolis, IN 46225-1090
Phone
(317) 237-5776
Fax
(317) 237-5777
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20040639A IN Primary

Addresses

Primary practice location

201 S Capitol Ave Ste 610
Indianapolis, IN 46225-1090

Mailing address

5869 Lawton Loop East Dr
Indianapolis, IN 46216-1064
Phone (317) 541-1019

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902933252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5869 LAWTON LOOP EAST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462161064",
            "telephone_number": "317-541-1019",
            "fax_number": "317-237-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S CAPITOL AVE STE 610",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462251090",
            "telephone_number": "317-237-5776",
            "fax_number": "317-237-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "KIRK",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.-HSPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040639A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.