Organization Active NPI

Matthew J Weltsch Psychologist

  • Clinical Psychologist
  • Escondido, CA
National Provider Identifier
1225360613
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY20348 Issued in CA
Legal business name
MATTHEW J WELTSCH PSYCHOLOGIST
Practice address
502 W El Norte Pkwy
Escondido, CA 92026-3983
Phone
(619) 218-9032
Fax
(760) 743-6711
NPI assigned
Feb 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Dr. Matthew J Weltsch, PH.D.
Title
Owner
Phone
(619) 218-9032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY20348 CA Primary

Addresses

Primary practice location

502 W El Norte Pkwy
Escondido, CA 92026-3983

Mailing address

502 W El Norte Pkwy
Escondido, CA 92026-3983
Phone (619) 218-9032

Other identifiers 1

IdentifierTypeStateIssuer
8435538MedicaidCA

National Provider Directory

National Provider Directory

Locations

502 W El Norte Pkwy
Escondido, CA 92026
Phone (619) 218-9032

17046 Bernardo Ctr Dr
Ste 214
San Diego, CA 92128

16496 Bernardo Center Dr
Ste 214
San Diego, CA 92128

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1225360613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W EL NORTE PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920263983",
            "telephone_number": "619-218-9032",
            "fax_number": "760-743-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W EL NORTE PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920263983",
            "telephone_number": "619-218-9032",
            "fax_number": "760-743-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW J WELTSCH PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "WELTSCH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-218-9032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8435538",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.