Individual provider Active NPI

Chrestina Naomi Wahler, PHD

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1326248212
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY28017 Issued in CA
Practice address
10174 Old Grove Rd Ste 110
San Diego, CA 92131-1648
Phone
(858) 254-9986
Fax
(844) 584-3546
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY28017 CA Primary

Addresses

Primary practice location

10174 Old Grove Rd Ste 110
San Diego, CA 92131-1648

Mailing address

10174 Old Grove Rd Ste 110
San Diego, CA 92131-1648
Phone (858) 254-9986

Other practice location 1

5230 Carroll Canyon Rd Ste 316
San Diego, CA 92121-1781
Phone (858) 254-9986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 2, 2024 through Jan 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY28017CAMDClinical Psychologist
28017CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
C. Naomi Wahler, PHD, Clinical Psychology and Assessment Services, Inc Clinical Current Accepting new patients

Locations

5830 Oberlin Dr
Ste 203
San Diego, CA 92121
Phone (858) 222-9060

10174 Old Grove Rd
Ste 110
San Diego, CA 92131
Phone (805) 409-7457

5230 Carroll Canyon Rd
Ste 316
San Diego, CA 92121
Phone (619) 436-4231

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735689600000",
    "number": "1326248212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10174 OLD GROVE RD STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311648",
            "telephone_number": "858-254-9986",
            "fax_number": "844-584-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10174 OLD GROVE RD STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311648",
            "telephone_number": "858-254-9986",
            "fax_number": "844-584-3546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5230 Carroll Canyon Rd Ste 316",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921211781",
            "country_code": "US",
            "telephone_number": "858-254-9986",
            "fax_number": "844-584-3546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAHLER",
        "first_name": "CHRESTINA",
        "middle_name": "NAOMI",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.