Active NPI
Wick Joseph Hauprich, PHD
- Health Psychologist
- West Covina, CA
National Provider Identifier
1295931103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Psychologist
- License
- PSY16665
- Practice address
- 1502 W West Covina Pkwy
West Covina, CA 91790-2703 - Phone
- (626) 480-5234
- Fax
- (626) 480-5109
- NPI assigned
- Jun 26, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Health Psychologist | 103TH0004X | PSY16665 | CA | Primary |
Addresses
Primary practice location
1502 W West Covina Pkwy
West Covina, CA 91790-2703
Mailing address
PO Box 12509
La Crescenta, CA 91224-5509
Phone (818) 957-4239
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY16665 | CA | MD | Health Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295931103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12509",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912245509",
"telephone_number": "818-957-4239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 W WEST COVINA PKWY",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902703",
"telephone_number": "626-480-5234",
"fax_number": "626-480-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUPRICH",
"first_name": "WICK",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "CA",
"license": "PSY16665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.