Active NPI
L Winters, PH.D.
- Clinical Psychologist
- Alameda, CA
National Provider Identifier
1427451020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY27193
- Practice address
- 1101 Marina Village Pkwy Ste 201
Alameda, CA 94501-6472 - Phone
- (916) 237-9780
- NPI assigned
- Sep 27, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY27193 | CA | |
| Health Service Psychologist | 103TH0100X | PSY27193 | CA | |
| Clinical Psychologist | 103TC0700X | PSY27193 | CA | Primary |
Addresses
Primary practice location
1101 Marina Village Pkwy Ste 201
Alameda, CA 94501-6472
Mailing address
PO Box 583145
Elk Grove, CA 95758-0055
Phone (916) 237-9780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY27193 | CA | MD | Clinical Neuropsychologist |
| 27193 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Coast Psychology Group, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1411776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627776000000",
"number": "1427451020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 583145",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957580055",
"telephone_number": "916-237-9780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MARINA VILLAGE PKWY STE 201",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945016472",
"telephone_number": "916-237-9780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTERS",
"first_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-27",
"last_updated": "2021-08-01",
"certification_date": "2021-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY27193",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "CA",
"license": "PSY27193",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY27193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.