Individual provider Active NPI

Kathryn May Wiens, PSY.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1134470701
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
27115 Issued in CA
Practice address
2801 Camino del Rio S Ste 300C
San Diego, CA 92108-3850
Phone
(619) 488-2498
Fax
(619) 488-2398
NPI assigned
Sep 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Counselor 101Y00000X
Clinical Psychologist 103TC0700X 27115 CA Primary

Addresses

Primary practice location

2801 Camino del Rio S Ste 300C
San Diego, CA 92108-3850

Mailing address

2801 Camino del Rio S Ste 300C
San Diego, CA 92108-3850
Phone (619) 488-1498

Other practice location 1

3517 Camino Del Rio S Ste 302
San Diego, CA 92108-4029
Phone (619) 996-3195

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
I20200918002434 CA Practitioner - Clinical Psychologist 0840550745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alo Ha Psychological Associates IncGroup PAC ID 3476783978, 12 clinicians

Practice addresses (Care Compare)

3517 Camino del Rio S
Suite 302
San Diego, CA 92108-4029
Phone (619) 996-3195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27115CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Institute of California Medical Group Inc PastSince Aug 21, 2020 Accepting new patients
Robert Zalewski-Zaragoza, MD, Inc PastSince Jan 28, 2024 Accepting new patients
Golden Hour Psychology Inc. Psychologist Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1134470701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 CAMINO DEL RIO S STE 300C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083850",
            "telephone_number": "619-488-1498",
            "fax_number": "619-488-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 CAMINO DEL RIO S STE 300C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083850",
            "telephone_number": "619-488-2498",
            "fax_number": "619-488-2398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3517 Camino Del Rio S Ste 302",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921084029",
            "country_code": "US",
            "telephone_number": "619-996-3195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIENS",
        "first_name": "KATHRYN",
        "middle_name": "MAY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "27115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.