Fred Wilkey, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY8380 Issued in CA

Practice address

9056 Santa Monica Blvd
Suite 306a
West Hollywood, CA 90069-5545

Phone

(310) 659-4455

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215953245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691849",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900698849",
            "telephone_number": "310-659-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9056 SANTA MONICA BLVD",
            "address_2": "SUITE 306A",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900695545",
            "telephone_number": "310-659-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKEY",
        "first_name": "FRED",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY8380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Edmond Wilber
• Kimberly Wilcox-White, D.O.
• Shane L Wilder, MD
• David Smith Wildman, PH.D.
• Jeffrey Wilkens, M.D.
• Melissa Christine Wilkinson, N.P.
• William B Cohen MD a Medical Corp
• Carrie Marie Williams
• Christopher Ty Williams, N.P.
• Jamison Williams, AGACNP-BC

• Psychologist in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.