Wieland Associates, Inc.

LBN: Wieland Associates, Inc.
Wieland Associates, Inc. is an health care organization with primary practice located at 1415 Magnavox Way Ste: 120, Fort Wayne IN 46804-1553. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Wieland Associates, Inc. can be contacted via phone (260) 483-7207, or through Wieland, Kevin Lee via phone (260) 483-7207.

Contact Information

Primary practice address
1415 Magnavox Way Ste: 120 Fort Wayne IN 46804-1553
Fax: (260) 483-0836
Website:
Authorized official contact:
Name: Wieland, Kevin Lee PSY.D., HSPP

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041419A Indiana

Profile Details

NPI number 1356547962
LBN Legal business name Wieland Associates, Inc.
DBA Doing business as
Authorized official Wieland, Kevin Lee PSY.D., HSPP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2007
Last updated Oct 28th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356547962 NPPES
Indiana MEDICAID 200260310A
Indiana MEDICAID 200360310A

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