Active NPI
Kiara Chanel Caryl Wesley, PHD
- Psychologist
- Long Beach, CA
National Provider Identifier
1255897369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY30625
- Practice address
- 300 Oceangate, Suite 700
Visn 22 Desert Pacific Healthcare System
Long Beach, CA 90802-4391 - Phone
- (562) 829-5963
- NPI assigned
- Feb 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY30625 | CA | Primary |
Addresses
Primary practice location
300 Oceangate, Suite 700
Visn 22 Desert Pacific Healthcare System
Long Beach, CA 90802-4391
Mailing address
PO Box 751831
Las Vegas, NV 89136-1831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY30625 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1255897369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751831",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891361831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 OCEANGATE, SUITE 700",
"address_2": "VISN 22 DESERT PACIFIC HEALTHCARE SYSTEM",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024391",
"telephone_number": "562-829-5963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESLEY",
"first_name": "KIARA",
"middle_name": "CHANEL CARYL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-13",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY30625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
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- West Acupuncture (midaskan,INC.)
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- West Coast Counseling Services Inc Dba West Coast Counseling Center (West C Oast Healthy Living Inc Dba West Coast Healthy Living Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.