National Provider Identifier Database

DAVID J WAKELY, PhD – NPI #1134228802
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

DAVID J WAKELY, PhD
557 N WASHINGTON ST
JANESVILLE, WI53548
Phone: 608-754-6000
Fax: 608-755-7892
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for DAVID J WAKELY

NPI Number 1134228802
Credentials PhD
Entity Individual
Enumeration date 09/21/2006
Last updated 06/14/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 071-002790
  • WI License #: 2711-057
  • WI Medicaid: 1134228802
  • WI Other: WAKELDAV MERCYCARE INSURANCE
  • WI Other: P00684638CD3624 RR MEDICARE
  • WI Other: 541760589 WI MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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