Michelle Claire Wold, PSYD

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-12595

Practice address

810 College Ave Ste 7
Kentfield, CA 94904-2532

Phone

(415) 758-2830

NPI assigned

Sep 17, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1427308485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MARIPOSA ST STE 312",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072367",
            "telephone_number": "415-806-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 COLLEGE AVE STE 7",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949042532",
            "telephone_number": "415-758-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLD",
        "first_name": "MICHELLE",
        "middle_name": "CLAIRE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-12-12595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Alan Weiner, D.C.
• Anna West, M.F.T.
• John Paul Whitty II
• Wise Psychology Services, Inc.
• Karen Colleen Wise, PSYD
• Archiebald Wollo
• Christine S Wong, MD
• Kimberly Woodland, MOTR/L
• Barry Edward Wootton, DDS
• Penny A. Wright, MFT

• Behavior Analyst in Kentfield, CA
• Providers in Kentfield, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.