Active NPI
Pamela S Wrona, PSYD
- Psychologist
- Livermore, CA
National Provider Identifier
1376876573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 25798
- Practice address
- 1615 Second St
Livermore, CA 94550-4327 - Phone
- (209) 627-0245
- Fax
- (209) 229-4170
- NPI assigned
- Sep 8, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 25798 | CA | Primary |
Addresses
Primary practice location
1615 Second St
Livermore, CA 94550-4327
Mailing address
2725 Patcham CMN
Livermore, CA 94550-2004
Phone (209) 627-0245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25798 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1376876573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2725 PATCHAM CMN",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945502004",
"telephone_number": "209-627-0245",
"fax_number": "209-229-4170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 SECOND ST",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945504327",
"telephone_number": "209-627-0245",
"fax_number": "209-229-4170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRONA",
"first_name": "PAMELA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-08",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "25798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livermore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.