Active NPI
Thomas Ward-McKinlay, PH.D.
- Clinical Psychologist
- Alpine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY0007065
- Practice address
- 2966 Night Watch Way
Alpine, CA 91901-4115 - Phone
- (203) 530-1491
- NPI assigned
- May 25, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY0007065 | CA | Primary |
Addresses
Primary practice location
2966 Night Watch Way
Alpine, CA 91901-4115
Mailing address
2966 Night Watch Way
Alpine, CA 91901-4115
Phone (203) 530-1491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1155 E Grand Ave
Suite 10
Escondido, CA 92025-3219
Phone (760) 644-4027
374 H St
Suite 201
Chula Vista, CA 91910-5547
Phone (619) 510-8480
502 Euclid Ave
Suite 200
National City, CA 91950-2984
Phone (619) 434-4019
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY0007065 | CA | MD | Clinical Psychologist |
| 2032 | CT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dymphna San Diego TMS Inc | Current | Accepting new patients | |
| Datnguyen MD Inc | Current | Accepting new patients | |
| Brenton D. Wynn, MD Inc | Current | Accepting new patients | |
| Genesis Medical Health a Professional Corporation | Current | Accepting new patients | |
| Innovative Pain Management Medical Group | Past | Accepting new patients |
Locations
374 H St
Ste 201
Chula Vista, CA 91910
Phone (619) 510-8480
1155 E Grand Ave
Ste 10
Escondido, CA 92025
Phone (760) 644-4027
5565 Grossmont Center Dr
Ste 229
La Mesa, CA 91942
Phone (619) 280-3500
502 Euclid Ave
Ste 200
National City, CA 91950
Phone (619) 434-4019
333 W Harbor Dr
Ste 126
San Diego, CA 92101
Organizations & group practices 6
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- National City, CA
- NPI 1598953960
-
- Psychiatry Physician
- Chula Vista, CA
- NPI 1255951620
-
- Psychiatry Physician
- Escondido, CA
- NPI 1811742307
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1215977723
-
- Clinical Psychologist
- Carlsbad, CA
- NPI 1912184219
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- National City, CA
- NPI 1902330285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1346778081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2966 NIGHT WATCH WAY",
"city": "ALPINE",
"state": "CA",
"postal_code": "919014115",
"telephone_number": "203-530-1491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2966 NIGHT WATCH WAY",
"city": "ALPINE",
"state": "CA",
"postal_code": "919014115",
"telephone_number": "203-530-1491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD-MCKINLAY",
"first_name": "THOMAS",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-25",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY0007065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.