Individual provider Active NPI

Susan Lynn Warda, SCHOOL PSYHCOLOGIST

  • School Psychologist
  • Walnut Creek, CA
National Provider Identifier
1003746371
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
250114253 Issued in CA
Practice address
960 Ygnacio Valley Rd
Walnut Creek, CA 94596-3826
Phone
(925) 366-4045
NPI assigned
May 20, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2007 FL
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X 250114253 CA Primary

Addresses

Primary practice location

960 Ygnacio Valley Rd
Walnut Creek, CA 94596-3826

Mailing address

960 Ygnacio Valley Rd
Walnut Creek, CA 94596-3826

Other practice location 1

4812 SW 74th Ct # 3
Miami, FL 33155-4448
Phone (786) 529-8378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
250114253CAMDSchool Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1003746371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 YGNACIO VALLEY RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 YGNACIO VALLEY RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963826",
            "telephone_number": "925-366-4045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4812 SW 74th Ct # 3",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331554448",
            "country_code": "US",
            "telephone_number": "786-529-8378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARDA",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "credential": "SCHOOL PSYHCOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "2007",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "250114253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.