Danielle Wischenka, PHD

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

31409 Issued in CA

Practice address

155 E Campbell Ave Ste 219
Campbell, CA 95008-2062

Phone

(650) 788-5955

NPI assigned

Dec 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1386282762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59198",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951590198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E CAMPBELL AVE STE 219",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082062",
            "telephone_number": "650-788-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISCHENKA",
        "first_name": "DANIELLE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "31409",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "31409",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "31409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Garcia Winner, MA
• Melanie Winters, LCSW
• Danielle Wirt
• Nicolas Wirt
• Carol Jean Wirth, MFTI
• Linda Elaine Wise, OTR
• Robert Charles Witcosky, P.A.
• Amy Woerner, PHD
• Dorothy Wong, M.D.
• Jeffrey Mew Wong, D.D.S.

• Health Psychologist in Campbell, CA
• Providers in Campbell, CA by specialty
• Health Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.