Individual provider Active NPI

Gina Marie Wind, PHD

  • Psychologist
  • Monterey, CA
National Provider Identifier
1043488455
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY25441 Issued in CA
Practice address
1084 Cass St
Monterey, CA 93940-4509
Phone
(831) 464-7707
Fax
(831) 464-7707
NPI assigned
Feb 19, 2008
Last updated
Jan 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY25441 CA Primary

Addresses

Primary practice location

1084 Cass St
Monterey, CA 93940-4509

Mailing address

1084 Cass St
Monterey, CA 93940-4509
Phone (831) 464-7707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130828000731 CA Practitioner - Clinical Psychologist 1658514377 Practice locations: Carpinteria, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5425 Carpinteria Ave
Unit 991
Carpinteria, CA 93014-7053
Phone (831) 252-1355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
25441CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1043488455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 CASS ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404509",
            "telephone_number": "831-464-7707",
            "fax_number": "831-464-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 CASS ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404509",
            "telephone_number": "831-464-7707",
            "fax_number": "831-464-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIND",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY25441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.