Active NPI
Kimberly Wulfert, PHD
- Psychologist
- Ventura, CA
National Provider Identifier
1447810858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY11065
- Practice address
- 1500 Palma Dr Ste 276
Ventura, CA 93003-6451 - Phone
- (805) 320-9361
- NPI assigned
- Jun 18, 2019
- Last updated
- Jun 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY11065 | CA | Primary |
Addresses
Primary practice location
1500 Palma Dr Ste 276
Ventura, CA 93003-6451
Mailing address
226 W Ojai Ave Ste 101
Ojai, CA 93023-3278
Phone (805) 320-9361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY11065 | CA | MD | Psychologist |
| 11065 | CA | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1447810858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 W OJAI AVE STE 101",
"city": "OJAI",
"state": "CA",
"postal_code": "930233278",
"telephone_number": "805-320-9361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 PALMA DR STE 276",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036451",
"telephone_number": "805-320-9361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WULFERT",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-18",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY11065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.