Rudolph Wietfeldt, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY33705 Issued in CA

Practice address

2181 S El Camino Real
Suite 202
Oceanside, CA 92054-6220

Phone

(760) 929-9010

NPI assigned

May 12, 2015

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• R & L Quest LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oceanside, CA
  • NPI 1891475059
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1245618032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 S EL CAMINO REAL",
            "address_2": "SUITE 202",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546220",
            "telephone_number": "760-929-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 S EL CAMINO REAL",
            "address_2": "SUITE 202",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546220",
            "telephone_number": "760-929-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIETFELDT",
        "first_name": "RUDOLPH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY33705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Whittaker
• Devonna Wicks
• Elizabeth Poulsen Wiegand, PH.D.
• Maren Elizabeth Wiegers, PT
• Sarah Rose Wiestling
• Joely Wiggins
• Alice Wight
• Richard Allen Wilbert
• Ian Wilder
• Melanie Silke Wilkerson, PT, DPT

• Clinical Psychologist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.