MS. JAQUITTA DENISE WELLS


Address: 1013 Evangeline Rd Apt 2, Cleveland, OH 44110-3192
Phone: 2164131538

MS. JAQUITTA DENISE WELLS (NPI# 1831798446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831798446
Entity Type Individual
Full Name MS. JAQUITTA DENISE WELLS
Practice Address 1013 Evangeline Rd Apt 2
Cleveland
OH 44110-3192
Practice Telephone 2164131538
Mailing Telephone 2164131538
Enumeration Date 2020-10-23
Last Update Date 2020-10-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TH0100X Psychologist
Specialization: Health Service
OH Behavioral Health & Social Service Providers

Office Location

Street Address 1013 EVANGELINE RD APT 2
City CLEVELAND
State OH
Zip Code 44110-3192

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Taxonomy Information

Taxonomy Code 103TH0100X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Health Service

Taxonomy Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition]

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NPI Name Taxonomy Address Enumeration
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1578651345 Kimberley Kay Schaub Psychologist 10701 East Blvd, 111a (w), Cleveland, OH 44106-1702 2006-10-10
1619086618 Edward Nicholas Carrol Psychologist 10701 East Blvd, Cleveland, OH 44106-1702 2006-08-30
1295849701 Suzanne Jean Smith Psychologist 10701 East Blvd, Gmh (w) 1b-254, Cleveland, OH 44106-1702 2006-08-19

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1427549138 Pallaveebahen H Patel Psychologist 9150a N Plaza Dr, Northfield, OH 44067-1348 2018-05-29
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1174999130 Angela Burris Psychologist 7055 Dutchland Blvd, Liberty Township, OH 45044-9014 2015-08-13
1023181633 William Hayes Obrien Psychologist Of Psychology, Bowling Green State University, Bowling Green, OH 43403-0001 2006-11-15
1629152954 Jill Helene Mushkat Conomy Psychologist 6803 Mayfield Rd. #200, Cchseast Hillcrest Hosp. Pain Center, Mayfield Hts., OH 44124 2006-10-24
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Competitor

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City CLEVELAND
Zip Code 44110

Improve Information

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Dataset Information

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.

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