Lynda Kristen Vaterlaus, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY-004161 Issued in AZ

Practice address

2617 W Burgess LN
Phoenix, AZ 85041-5384

Phone

(480) 779-8181

Fax

(480) 660-5381

NPI assigned

Aug 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lynda.vaterlaus.p1@direct.nachci.nextgenshare.com

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.

• A Wisermind LLC

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1053619874
  NPD (past)

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1154578938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 W BURGESS LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850415384",
            "telephone_number": "480-779-8181",
            "fax_number": "480-660-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 W BURGESS LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850415384",
            "telephone_number": "480-779-8181",
            "fax_number": "480-660-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATERLAUS",
        "first_name": "LYNDA",
        "middle_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-004161",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "PSY-004161",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "AZ",
            "license": "PSY-004161",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620393",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Christine Vasquez, FNP
• Valeria Vasquez, MD
• Victor Vasquez
• Wilfredo Vasquez Jr.
• Goudarz Vassigh, DC
• Catherine Cecelia Vatsis, MD
• Radhika Vattikuti, M.D.
• Bonnie Vatz, LPC
• Nicole Vaudrin, RD
• Karen Antoinette Vaughan, NMD

• Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.