Emily Lauren Wald, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY10880 Issued in FL

Practice address

1390 S Dixie Hwy Ste 1305
Coral Gables, FL 33146-2974

Phone

(305) 431-0002

NPI assigned

Jun 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1285164418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 SW 135TH DR",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331567048",
            "telephone_number": "305-431-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S DIXIE HWY STE 1305",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462974",
            "telephone_number": "305-431-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6355 SW 135th Dr",
            "address_purpose": "LOCATION",
            "city": "Pinecrest",
            "state": "FL",
            "postal_code": "331567048",
            "country_code": "US",
            "telephone_number": "305-431-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALD",
        "first_name": "EMILY",
        "middle_name": "LAUREN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "06154",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.