Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kevin L. Wieland, PSYD, HSPP

Individual provider Clinical Psychologist · NPI 1497737902

Dr. Kevin L. Wieland, PSYD, HSPP is a Clinical Psychologist in Fort Wayne, Indiana. Qualified in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
28
Licensed in
IN
In the registry since
2005
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Practice location Address checks out

1415 Magnavox Way Ste 120
Fort Wayne, IN 46804-1565
Phone: (260) 483-7207
Fax: (260) 483-0836
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20041419A (IN)

Record details

NPI number1497737902
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD , HSPP
Sole proprietorYes
NPI enumeratedNovember 18, 2005
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Wayne