Individual provider Active NPI

Thomas Ward-McKinlay, PH.D.

  • Clinical Psychologist
  • Alpine, CA
National Provider Identifier
1346778081
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY0007065 Issued in CA
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

Updated by the provider on May 29, 2019

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190625000963 CA Practitioner - Clinical Psychologist 1355619016 Reassigns benefits to 5 organizations

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
Genesis Medical Health a Professional CorporationGroup PAC ID 9032655576, 3 clinicians
Dymphna San Diego TMS IncGroup PAC ID 7517389018, 8 clinicians
Brenton D. Wynn, MD IncGroup PAC ID 1759321086, 4 clinicians

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

LicenseStateTypeSpecialty
PSY0007065CAMDClinical Psychologist
2032CTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Dymphna San Diego TMS Inc CurrentSince Sep 1, 2021 Accepting new patients
Datnguyen MD Inc CurrentSince May 20, 2023 Accepting new patients
Brenton D. Wynn, MD Inc CurrentSince Nov 1, 2025 Accepting new patients
Genesis Medical Health a Professional Corporation CurrentSince May 24, 2024 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.

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

Verify at the official NPI Registry.