Individual provider Active NPI

Taryn Weinkam, PHD

  • Psychologist
  • San Carlos, CA
National Provider Identifier
1437439726
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY27771 Issued in CA
Practice address
1335 San Carlos Ave Ste B
San Carlos, CA 94070-5604
Phone
(650) 822-7554
NPI assigned
Aug 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY27771 CA Primary

Addresses

Primary practice location

1335 San Carlos Ave Ste B
San Carlos, CA 94070-5604

Mailing address

1335 San Carlos Ave Ste B
San Carlos, CA 94070-5604
Phone (650) 822-7554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160513001490 CA Practitioner - Clinical Psychologist 1153610134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1335 San Carlos Ave
Suite B
San Carlos, CA 94070-5604
Phone (650) 822-7554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY27771CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Attunement Psychology, PC CurrentSince Sep 24, 2025 Accepting new patients

Locations

1335 San Carlos Ave
Ste B
San Carlos, CA 94070
Phone (605) 822-7554

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": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1437439726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 SAN CARLOS AVE STE B",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705604",
            "telephone_number": "650-822-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 SAN CARLOS AVE STE B",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705604",
            "telephone_number": "650-822-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINKAM",
        "first_name": "TARYN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

Verify at the official NPI Registry.