Provider Demographics
NPI:1235308461
Name:WELLS, CINDA FIELD (PHD)
Entity Type:Individual
Prefix:MRS
First Name:CINDA
Middle Name:FIELD
Last Name:WELLS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1288 MILLSTONE SQUARE
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-4570
Mailing Address - Country:US
Mailing Address - Phone:614-436-0044
Mailing Address - Fax:614-436-0045
Practice Address - Street 1:5701 N HIGH STREET
Practice Address - Street 2:STE 104
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43085-3960
Practice Address - Country:US
Practice Address - Phone:614-436-0044
Practice Address - Fax:614-436-0045
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3155103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000118606OtherANTHEM
OH0530750Medicaid
OH616436OtherUNITED BEHAVIORAL HEALTH
OH0530750Medicaid