KEVIN WELLS (NPI# 1588027965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588027965 |
| Entity Type | Individual |
| Full Name | KEVIN WELLS |
| Practice Address |
100 Metroplex Dr Ste 200 Edison NJ 08817-2684 |
| Practice Telephone | 7322358400 |
| Practice Fax Number | 7322358395 |
| Mailing Telephone | 7322358400 |
| Mailing Fax Number | 7322358395 |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25MB10722100 | NJ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0730564 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 263 Farmington Ave, Farmington, CT 060302103 | 8606794733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293834 | Kevin Wells | Dentist | 793 Lynnfield St, Lynn, MA 01904-1033 | 2005-05-23 |
| 1982140463 | Kevin Wells | Counselor | 4130 Lindell Blvd, Saint Louis, MO 63108-2914 | 2017-01-09 |
| 1154765733 | Kevin Michael Wells | Ophthalmology | 2806 E 29th St, Bryan, TX 77802-2601 | 2013-04-25 |
| 1891988192 | Kevin W Wells | Counselor | 187 W Broad St, Spartanburg, SC 29306-3234 | 2007-08-21 |
| 1154447977 | Kevin Dale Wells | Emergency Medicine | 17304 Preston Rd, Suite 555, Dallas, TX 75252-5618 | 2007-03-22 |
| 1194809178 | Kevin W Wells | Optometrist | 4012 Commons Dr W, Ste 110, Destin, FL 32541-8422 | 2006-10-25 |
| 1104874007 | Kevin M Wells | Chiropractor | 795 Crestview Cir Nw, Port Charlotte, FL 33948-2126 | 2006-05-04 |
| Street Address |
100 METROPLEX DR STE 200 |
| City | EDISON |
| State | NJ |
| Zip Code | 08817-2684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982171583 | Theresa Brown-biondo | Case Manager/Care Coordinator | 100 Metroplex Dr Ste 200, Edison, NJ 08817-2684 | 2018-11-01 |
| 1992244842 | Florencia Allegretti | Social Worker | 100 Metroplex Dr Ste 200, Edison, NJ 08817-2684 | 2017-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447862750 | Ling Zhu | Pharmacist | 2124 A State Route 27, Edison, NJ 08817 | 2020-08-18 |
| 1912525825 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Truman Square, Apt 1109, Edison, NJ 08817 | 2020-07-07 |
| 1518582956 | Ismile Dental Care of Edison | Dentist | 1914 B Route 27, Edison, NJ 08817 | 2020-06-11 |
| 1437704905 | Ethel Diagnostic Laboratory | Pathology | 4 Ethel Road, Suite 402a, Edison, NJ 08817 | 2019-08-01 |
| 1316509250 | Hyun Sang Lee | Optometrist | 2210 Route 27 North, Edison, NJ 08817 | 2019-07-01 |
| 1578022851 | Labor of Love Healthcare LLC | Nursing Care | 1967 Lincoln Highway, Suite 33, Edison, NJ 08817 | 2019-03-18 |
| 1932664349 | Marlene Bott | Occupational Therapist | 2035 Lincoln Highway, Edison Square West, Edison, NJ 08817 | 2019-02-11 |
| 1174092928 | Neil Bakhru | Occupational Therapist | 802 Merrywood Drive, Edison, NJ 08817 | 2018-11-21 |
| 1164912697 | Milton Perez | Driver | 14m Reading Rd, Edison, NJ 08817 | 2018-05-10 |
| 1366931891 | Roseanna Perez | Recreation Therapist | 14m Reading Rd., Edison, NJ 08817 | 2018-05-10 |
| Find all providers in zip 08817 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770092405 | Kenneth J Lichtman Md LLC | Psychiatry & Neurology | 1109 Amboy Ave, Edison, NJ 08837-2877 | 2017-09-26 |
| 1639325442 | Farah Asim Khan | Psychiatry & Neurology | 58 Lyle Pl, Edison, NJ 08820-4433 | 2008-08-12 |
| 1023283488 | Riffat Sajjad | Psychiatry & Neurology | 4 Louis Ct, Edison, NJ 08820 | 2008-04-28 |
| 1063501872 | Niveditha Meghadri | Psychiatry & Neurology | 295 Pierson Ave, Edison, NJ 08837-3118 | 2006-10-11 |
| 1528155983 | Kenneth I Burns | Psychiatry & Neurology | 100 Metroplex Dr, Edison, NJ 08817-2684 | 2006-10-06 |
| 1679660328 | Myoung-sun Moon Lee | Psychiatry & Neurology | 1734 Lincoln Highway Rt 27, Edison, NJ 08817 | 2006-10-06 |
| 1760578785 | Amina K Chowdhury | Psychiatry & Neurology | 8 Milford Court, Edison, NJ 08820 | 2006-10-05 |
| 1770989469 | Ram Mahato | Psychiatry & Neurology | 65 James St, Edison, NJ 08820-3947 | 2014-11-07 |
| 1003115411 | Behavioral Health Solutions, LLC | Psychiatry & Neurology | 58 Lyle Pl, Edison, NJ 08820-4433 | 2011-03-24 |
| 1780740605 | Bei Barbara Huang | Psychiatry & Neurology | 19 Timber Rd, Runnells Specializ40 Watchung Way, Berkely Heights, Nj, Edison, NJ 08820-3204 | 2006-12-28 |
| Find all providers in EDISON | ||||
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| 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.