William Walsh, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY07625 Issued in CA

Practice address

38713 Tierra Subida Ave Ste 200-137
Palmdale, CA 93551-4562

Phone

(661) 706-6056

NPI assigned

Sep 22, 2016

Last updated

Sep 22, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1437608106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38713 TIERRA SUBIDA AVE STE 200-137",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514562",
            "telephone_number": "661-706-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38713 TIERRA SUBIDA AVE STE 200-137",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514562",
            "telephone_number": "661-706-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY07625",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY07625",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY07625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Anne Wall, MS, BCBA
• Jennifer Wallace
• Walmart Inc. (Walmart Pharmacy 10-1660)
• Walmart Inc. (Walmart Pharmacy 10-2950)
• Walmart Inc. (Walmart Pharmacy 10-5689)
• Norma Cristina Walther, NONE
• Melinda Wannes
• Zohal Wardak, DO
• Roxanne Warren
• Annette Monique Washington, MS, RDN, LDN

• Clinical Neuropsychologist in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.