DR. JACQUELINE W WYNN (NPI# 1730101437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730101437 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE W WYNN |
| Credential | PH.D. |
| Practice Address |
187 W Schrock Rd Westerville OH 43081-2890 |
| Practice Telephone | 6143558315 |
| Practice Fax Number | 6143558361 |
| Mailing Telephone | 6143558315 |
| Mailing Fax Number | 6143558361 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
5677 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609131978 | Jacqueline Wynn | Nurse Practitioner | 800 Goodlette Rd N Ste 340, Naples, FL 34102-5412 | 2012-07-11 |
| Street Address |
187 W SCHROCK RD |
| City | WESTERVILLE |
| State | OH |
| Zip Code | 43081-2890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437177391 | Christine Marie Eichelberger | Psychologist | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2006-07-18 |
| 1992317416 | Deanna Daniell Keenan | Behavior Technician | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2020-08-17 |
| 1427606458 | Tybytha Ryan | Student in an Organized Health Care Education/Training Program | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2019-09-03 |
| 1649828153 | Anne Kalomiris | Student in an Organized Health Care Education/Training Program | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2019-08-28 |
| 1407404908 | Claire Burns | Student in an Organized Health Care Education/Training Program | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2019-08-28 |
| 1912555434 | Jamie Jones | Student in an Organized Health Care Education/Training Program | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2019-08-28 |
| 1194284877 | Karen Kaplan | Behavior Technician | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2019-03-13 |
| 1184183865 | Alison Ebel | Behavior Technician | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2019-03-13 |
| 1184189508 | Nathan Brugler | Student in an Organized Health Care Education/Training Program | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2019-02-11 |
| 1639634066 | Taylor Stover | Student in an Organized Health Care Education/Training Program | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2019-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917643 | Cheryl Lynne Weitthoff | Home Health Aide | Cheryl Weitthoff, 33 Nadine Place South, Westerville, OH 43081 | 2020-09-18 |
| 1588274088 | Omer Mohamed | Respiratory Therapist, Certified | 5825 Leila Lane Unit 107, Westerville, OH 43081 | 2020-08-09 |
| 1932739174 | Norline E Ford | Counselor | 100 Dorchester Sq. Suite 102, Westerville, OH 43081 | 2020-01-15 |
| 1902444524 | Sabrina Shannon | Behavior Technician | 189 W. Schrock Road, Westerville, OH 43081 | 2019-12-13 |
| 1336786581 | New Horizon Home Health Care, LLC | Home Health | 635 Park Meadow Rd Ste 115, Unit B, Westerville, OH 43081 | 2019-12-06 |
| 1295389740 | Esther A Ogundare | Licensed Practical Nurse | 394 Naples Pl., Westerville, OH 43081 | 2019-08-01 |
| 1922580364 | Judith Luann Haynes | Nurse Practitioner | 620 S. Cleveland Ave, Westerville, OH 43081 | 2018-09-01 |
| 1851879878 | Erin Doone | Physical Therapist | 631 Copeland Mill Rd Ste B, Westerville, OH 43081 | 2018-08-01 |
| 1205312360 | Melissa Anderson | Counselor | 145 W Schrock Road, Westerville, OH 43081 | 2018-07-12 |
| 1407344963 | Hannah Tiberi | Nurse Practitioner | 410 Mary Ave, Westerville, OH 43081 | 2018-04-30 |
| Find all providers in zip 43081 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437177391 | Christine Marie Eichelberger | Psychologist | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2006-07-18 |
| 1063435253 | David Michalec | Psychologist | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2006-07-26 |
| 1295759082 | James Anton Mulick | Psychologist | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2006-07-26 |
| 1104840990 | Nathan Henninger | Psychologist | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881146934 | Tyesha Walker | Psychologist | 1745 Stevens Ave, Cincinnati, OH 45231-4239 | 2016-10-25 |
| 1598214165 | Bocar Dieng | Psychologist | 131 Heatherbridge Ln, Blacklick, OH 43004-9269 | 2016-09-23 |
| 1740634815 | Clarice Butler Starks | Psychologist | 1106 Winton Ave, Akron, OH 44320-3630 | 2016-04-14 |
| 1871999417 | Samuel Saunders | Psychologist | 16715 Palda Dr, Cleveland, OH 44128-3326 | 2014-11-10 |
| 1467855874 | Lorrie Clifford | Psychologist | 6230 Ridgeacres Dr, Unit A, Cincinnati, OH 45237-4981 | 2014-09-29 |
| 1891116489 | Patricia Lynn Emerson | Psychologist | 2723 Erlene Dr Apt 1029, Cincinnati, OH 45238-2858 | 2013-12-27 |
| 1114353489 | Tera D Gibson | Psychologist | 1047 Hartford Ave, Akron, OH 44320-2727 | 2013-09-18 |
| 1831524917 | Abigail Chiwandamira | Psychologist | 6113 Chestnut Ridge Dr, Columbus, OH 43230-8311 | 2013-09-09 |
| 1629417498 | Laura Griffin-white | Psychologist | 4404 Hill Ave Apt Ag07, Toledo, OH 43615-5456 | 2013-06-14 |
| 1790094019 | Hiddend Pearls, LLC | Psychologist | 30 E Harrison St, Alliance, OH 44601-1821 | 2010-10-04 |
| Find all providers with the same taxonomy | ||||
| City | WESTERVILLE |
| Zip Code | 43081 |
Please comment or provide details below to improve the information on DR. JACQUELINE W WYNN.
| 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.