Organization Active NPI

Walters Wellness & Psychology Group, Apc

  • Clinical Psychologist
  • Pinole, CA
National Provider Identifier
1386315927
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WALTERS WELLNESS & PSYCHOLOGY GROUP, APC
Practice address
2161 San Pablo Ave
Pinole, CA 94564-1701
Phone
(510) 499-4054
NPI assigned
Sep 23, 2021
Last updated
Feb 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Dr. Dr. Cathia Walters, PSYD
Title
President/Ceo
Phone
(510) 499-4054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2161 San Pablo Ave
Pinole, CA 94564-1701

Mailing address

2161 San Pablo Ave
Pinole, CA 94564-1701
Phone (510) 499-4054

National Provider Directory

National Provider Directory

Locations

2161 San Pablo Ave
Pinole, CA 94564
Phone (510) 499-4054

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1386315927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 SAN PABLO AVE",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641701",
            "telephone_number": "510-499-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 SAN PABLO AVE",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641701",
            "telephone_number": "510-499-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTERS WELLNESS & PSYCHOLOGY GROUP, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "DR. CATHIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "510-499-4054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.