P Praxis·MD
● Active Type 1 · Individual

Kevin Richard Wandler, MD

Psychiatry & Neurology·Roswell, GA· NPI 1205956265 · Enumerated 2007 · 19 years on NPI
Wandler is 1 of 1 psychiatry & neurology providers in Roswell and 1 of 24 in Georgia.
NPI age
19 years
Enumerated 2007-03-30
Primary specialty
Psychiatry & Neurology
Plus 9 subspecialties
Licensed in
GA, NJ, CO, OH, MO, WA, IN, AZ, FL
9 states
Status
Active
No deactivations on record
Last NPPES update
2025-01-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 24 active psychiatry & neurology providers in Georgia.

NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
9 states
Top 83% — 16% of peers are multi-state
Subspecialties
2
In the 45% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Practice location
11725 Pointe Pl
Roswell, GA 300764636
📞 4709909483fax 8778005436
Mailing address
888 S Hillhurst Rd
Ridgefield, WA 986429063
📞 7543003120fax 9543068977

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
8150 Brookville Rd
Indianapolis, IN 462398903
📞 3177547784
Location 3
888 S Hillhurst Rd
Ridgefield, WA 986429063
📞 7543003120 x4118fax 9543068977

Specialties

  • Psychiatry & Neurology Primary
    A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
    GA license #92660CO license #DR.0055465OH license #130525MO license #2022048625WA license #MD60562814IN license #01092373ANJ license #25MA10809300 taxonomy 2084A0401X
  • Preventive Medicine
    A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
    NJ license #25MA10809300 taxonomy 2083A0300X
  • Psychiatry & Neurology
    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
    AZ license #14421FL license #ME110716 taxonomy 2084P0800X

Identifiers

TypeValueNotes
05 (FL) 004007100
Multi-state credentialing: Licensed in 9 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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