MARY J. WELLS (NPI# 1568568376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568568376 |
| Entity Type | Individual |
| Full Name | MARY J. WELLS |
| Credential | PHD LCP |
| Practice Address |
11958 W Broad St Henrico VA 23233 |
| Mailing Address |
Po Box 91734 Richmond VA 23291-1734 |
| Practice Telephone | 8043604669 |
| Practice Fax Number | 8043646521 |
| Mailing Telephone | 8043586100 |
| Mailing Fax Number | 8043427619 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2018-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810001817 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | UBH | 341259 | 01 |
| VA | SENTARA BEHAVIORAL | 082546 | 01 |
| VA | MAGELLAN | 198317000 | 01 |
| VA | PHCS | 356101 | 01 |
| VA | COMPSYCH | 190033 | 01 |
| VA | ANTHEM | 381756 | 01 |
| VA | OPTIMUM CHOICE | 611681 | 01 |
| VA | HEALTHKEEPERS | 191723 | 01 |
| VA | VALUE OPTIONS | 31705 | 01 |
| VA | AETNA | 4529892 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609348606 | Mary Margaret Wells | Developmental Therapist | 9233 Lakewind Ct, Indianapolis, IN 46256-9355 | 2019-01-02 |
| 1629520523 | Mary Wells | Registered Nurse | 682 Fiske Rd, Barton, VT 05822-9395 | 2016-10-26 |
| 1720498744 | Mary Alexia Wells | Speech-Language Pathologist | 3117 Alvey Park Drive W, Owensboro, KS 42303 | 2014-04-29 |
| 1538508296 | Mary Huerter Wells | Internal Medicine | 8303 Dodge St Ste 250, Omaha, NE 68114-4108 | 2013-06-17 |
| 1336418433 | Mary Elizabeth Wells | Speech-Language Pathologist | 4 Yacht Club Dr, # 5, Daphne, AL 36526-7193 | 2011-12-19 |
| 1356622906 | Mary Elizabeth Wells | Registered Nurse | 97 Markie Dr W, Rochester, NY 14606-4551 | 2011-09-08 |
| 1710135819 | Mary Alicia Wells | Veterinarian | 4642 Lebanon Road, Hermitage, TN 37076-1316 | 2008-09-03 |
| 1538337514 | Mary Ellen Wells | Licensed Practical Nurse | 20 Leigh Street, Huntington, NY 11743 | 2008-02-13 |
| 1093851610 | Mary Melinda Wells | Optometrist | 23591 El Toro Road, Ste 145, Lake Forest, CA 92630 | 2007-01-30 |
| 1285709774 | Mary E Wells | Nurse Practitioner | 849 E Industry St, Giddings, TX 78942-4301 | 2006-11-21 |
| Street Address |
11958 W BROAD ST |
| City | HENRICO |
| State | VA |
| Zip Code | 23233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962012542 | Kathryn May Gallanosa | Nurse Practitioner | 11958 W Broad St, Henrico, VA 23233-1007 | 2020-08-07 |
| 1780033050 | Virginia Commonwealth University Health System Authority | General Acute Care Hospital | 11958 W Broad St, Henrico, VA 23233-1007 | 2016-06-08 |
| 1174942700 | Jessica Hupe | Physical Medicine & Rehabilitation | 11958 W Broad St, Henrico, VA 23233 | 2014-04-10 |
| 1437431756 | Holly R Lake | Pharmacist | 11958 W Broad St, Henrico, VA 23233-1007 | 2011-09-13 |
| 1467748244 | Anish S. Patel | Internal Medicine | 11958 W Broad St, Henrico, VA 23233-1007 | 2011-06-21 |
| 1053607945 | Bradley Alan Stovall | Physical Medicine & Rehabilitation | 11958 W Broad St, Henrico, VA 23233-1007 | 2011-06-20 |
| 1801116371 | Jeremy A. Ross | Orthopaedic Surgery | 11958 W Broad St, Henrico, VA 23233 | 2010-06-08 |
| 1851525729 | Seema Kumar Patel | Internal Medicine | 11958 W Broad St, Henrico, VA 23233-1007 | 2009-05-07 |
| 1871755371 | Andrew Watson Chapman | Anesthesiology | 11958 W Broad St, Henrico, VA 23233-1007 | 2008-06-26 |
| 1326228222 | Scott Robert Haines | Psychiatry & Neurology | 11958 W Broad St, Henrico, VA 23233 | 2007-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1770193286 | Penelope Kate Eissenberg | Occupational Therapist | Cedarfields, 2300 Cedarfield Parkway, Richmond, VA 23233 | 2020-08-10 |
| 1962038570 | Samantha Montgomery Warren | Nurse Practitioner | 3900 Westerre Parkway, Suite 300 Pmb# 308, Richmond, VA 23233 | 2020-03-15 |
| 1285269696 | Joyce Prayer Medical Transportion LLC | Transportation Broker | 2437 Bidgeview Ln, Henrico, VA 23233 | 2020-03-05 |
| 1821621228 | Marlon Reyes | Private Vehicle | 2500 Pump Rd, Richmond, VA 23233 | 2020-02-13 |
| 1659840924 | Brent Rusnak River Run Dental Greengate | Dentist | 3700 Haydenpark Lane, Medical Office J, Henrico, VA 23233 | 2018-11-16 |
| 1003309808 | Jeffrey Walker | Pharmacist | 3460 Pump Road, Henrico, VA 23233 | 2018-06-07 |
| 1346741667 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100, Richmond, VA 23233 | 2018-02-22 |
| 1215438544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100a, Richmond, VA 23233 | 2018-02-22 |
| 1295235026 | Zackery Firesheets | Physical Therapy Assistant | 2422 University Park Blvd., Richmond, VA 23233 | 2018-02-19 |
| Find all providers in zip 23233 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538601646 | Lisa H Blum | Psychologist | 2360 Longboat Ct, Henrico, VA 23294-4902 | 2016-11-07 |
| 1902269004 | Brandon Jamaal Ernest Williams | Psychologist | 2727 Enterprise Pkwy Ste 202, Henrico, VA 23294-6341 | 2016-04-05 |
| 1154435303 | Andrea M Stern | Psychologist | 4110 E Parham Rd Ste 208, Henrico, VA 23228-2754 | 2006-08-17 |
| 1104990936 | Debbie Daniels Mohring | Psychologist | 2200 Pump Rd, Ste 220, Henrico, VA 23233-3539 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593603 | Tina Tehrani Nawaz | Psychologist | 23909 Heather Meadow Dr, Ashburn, VA 20148-1767 | 2020-09-16 |
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1174135917 | Elizabeth Dehart Richardson | Psychologist | 3023 Arrowhead Rd, Rockingham, VA 22801-8682 | 2020-08-22 |
| 1558973131 | Saharay Elizabeth Martinez | Psychologist | 26 Zenith Loop, Newport News, VA 23601-1270 | 2020-08-17 |
| 1881204097 | Maria Elena Burke | Psychologist | 108 Colonels Way, Williamsburg, VA 23185-5105 | 2020-08-03 |
| 1699385013 | Celeste Macdonald Kelly | Psychologist | 250 Wylderose Cmns, Midlothian, VA 23113-6883 | 2020-08-01 |
| 1811515794 | Thomas Craig Foster Jr. | Psychologist | 115 Bulifants Blvd Ste A, Williamsburg, VA 23188-5720 | 2020-07-08 |
| 1225655012 | Drew Taylor Bassett | Psychologist | 1970 Roanoke Blvd # 116b1, Salem, VA 24153-6404 | 2020-06-29 |
| 1851917843 | Nathaniel Andrew | Psychologist | 3112 Honeywood Ln Apt E, Roanoke, VA 24018-8853 | 2020-06-25 |
| 1548886674 | Anita L Boss | Psychologist | 1200 Prince St, Alexandria, VA 22314-2936 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARY J. WELLS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.