Individual provider Active NPI

Wendy Beth Raskey, PHD

  • Clinical Psychologist
  • Lancaster, CA
National Provider Identifier
1144419615
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSB94025159 Issued in CA
Practice address
1672 W Avenue J Ste 207
Lancaster, CA 93534-2861
Phone
(661) 951-4662
NPI assigned
Oct 19, 2007
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSB94025159 CA Primary

Addresses

Primary practice location

1672 W Avenue J Ste 207
Lancaster, CA 93534-2861

Mailing address

1672 W Avenue J Ste 207
Lancaster, CA 93534-2861
Phone (661) 951-4662

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
I20240916001800 CA Practitioner - Clinical Psychologist 0547602807 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSB94025159CAMDClinical Psychologist
34883CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cala Psychological Services, Inc Psychologist CurrentSince Jul 3, 2024 Accepting new patients
Morris Clinic Inc CurrentSince Aug 9, 2020 Accepting new patients

Locations

1672 W Avenue J
Ste 207
Lancaster, CA 93534
Phone (661) 940-3484

595 E Colorado Blvd
Ste 428
Pasadena, CA 91101
Phone (818) 600-7312

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1144419615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 W AVENUE J STE 207",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342861",
            "telephone_number": "661-951-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 W AVENUE J STE 207",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342861",
            "telephone_number": "661-951-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASKEY",
        "first_name": "WENDY",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSB94025159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.