Wanda Von Kleist, PH.D. & Associates, a Psychological Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

19430 Issued in CA

Legal business name

WANDA VON KLEIST, PH.D. & ASSOCIATES, A PSYCHOLOGICAL CORPORATION

Practice address

3333 W Coast Hwy Ste 500
Newport Beach, CA 92663-4043

Phone

(949) 903-1481

Fax

(949) 646-6678

NPI assigned

Feb 28, 2007

Last updated

Jul 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wanda Von Kleist, PH.D.NPI 1518175975

Title

President

Phone

(949) 903-1481

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wanda Von Kleist, PHD

  • Psychologist
  • Newport Beach, CA
  • NPI 1518175975
  NPD (past) Authorized official
• Jean Irene Forman, MD

  • Family Medicine Physician
  • Newport Beach, CA
  • NPI 1174615520
  NPD (past)
• Todd Andrew Forman, M.D.

  • Family Medicine Physician
  • Newport Beach, CA
  • NPI 1033178025
  NPD (past)
• John Paul Laura, D.O

  • Family Medicine Physician
  • Newport Beach, CA
  • NPI 1063579316
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1336277763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W COAST HWY STE 500",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634043",
            "telephone_number": "949-903-1481",
            "fax_number": "949-646-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W COAST HWY STE 500",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634043",
            "telephone_number": "949-903-1481",
            "fax_number": "949-646-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDA VON KLEIST, PH.D. & ASSOCIATES, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "VON KLEIST",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-903-1481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "19430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shavvonne Walls
• Anne Marie Walsh, P.A.
• Lauren Nicole Walstead
• Curtis Fred Walter, RCP
• Sheryl Stephanie Wamsley-Goldsmith, LCSW
• Noelle Terese Wands, PA-C
• Allison Wang
• Brian Wang, D.O.
• Cheng-Yu Wang
• Chin-Hou Wang, RPH

• Clinical Psychologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.