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DR. DAVID T. WELLS PH.D
NPI 1881628782
Psychologist - Clinical in Glen Carbon, IL

Active since July 10, 2006Opted out of Medicare · through May 25, 2028
6-B GLEN-ED PROFESSIONAL PARK, GLEN CARBON, IL 62034(618) 692-9600(618) 692-9607 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. David T. Wells Ph.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID T. WELLS PH.D (NPI 1881628782) is an individual clinical provider in Glen Carbon, Illinois and active in the NPI registry since July 2006. He has opted out of Medicare through May 25, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1881628782
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DAVID T. WELLSCredential: PH.D
Location Address6-B GLEN-ED PROFESSIONAL PARKGlen Carbon, IL 62034-3333
Mailing Address6-b Glen-ed Professional ParkGlen Carbon, IL 62034-3333 · (618) 692-9600 · Fax (618) 692-9607
Phone(618) 692-9600
Fax(618) 692-9607
Sole ProprietorYes
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1881628782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
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.
6-B GLEN-ED PROFESSIONAL PARK, Glen Carbon, IL 62034
Open in Google Maps ↗

Other Identifiers 9

Other048560IL · Value Options
Other6111855IL · United Healthcare
Other1733254IL · First Health
Other14842MO · Bcbs Mo
OtherR18036IL · Mercy Health Plans
Other5823117IL · Aetna
Other6072011IL · Bcbs Il
Medicare ID-Type Unspecified914720IL · Clinical Psychologist
Other126302IL · Healthlink

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. David T. Wells Ph.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 25, 2016 through May 25, 2028.

Opt-Out Effective DateMay 25, 2016
Opt-Out In Effect ThroughMay 25, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$173.35 typical visit price
range $56.28 – $173.35
Typical copayment $43.33 (range $14.07 – $43.33)
Most-billed visit code 99205
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. HARRIET GRAZMAN LCSW
Social Worker (Clinical)
6-B GLEN-ED PROFESSIONAL PARK
GLEN CARBON, IL 62034
Madison County (618) 692-9600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Wells's NPI number?

The NPI number for David Wells is 1881628782. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is David Wells located?

David Wells practices at 6-B Glen-Ed Professional Park, Glen Carbon, IL 62034. The listed phone number is (618) 692-9600.

What is David Wells's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is David Wells enrolled in Medicare?

No. David Wells has opted out of Medicare through May 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for David Wells was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.