Individual provider Active NPI

David Welch, PH.D.

  • Psychologist
  • Newport Beach, CA
National Provider Identifier
1467740571
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY17646 Issued in CA
Practice address
4019 Westerly PL Ste 102
Newport Beach, CA 92660-2333
Phone
(714) 540-9070
Fax
(714) 549-4525
NPI assigned
Jul 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY17646 CA Primary

Addresses

Primary practice location

4019 Westerly PL Ste 102
Newport Beach, CA 92660-2333

Mailing address

4019 Westerly PL Ste 102
Newport Beach, CA 92660-2333
Phone (714) 540-9070

Other practice location 1

25401 Cabot Rd Ste 212
Laguna Hills, CA 92653-5514
Phone (714) 540-9070

Other practice location 2

1440 N Harbor Blvd Ste 725
Fullerton, CA 92835-4170
Phone (714) 540-9070

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY17646CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
JRW Group LLC Current Accepting new patients
Wel-Mor Psychology Group, Inc Psychologist Past Accepting new patients
Wel-Mor Psychology Group, Inc Psychologist Past Accepting new patients

Locations

2900 Bristol St
Ste E103
Costa Mesa, CA 92626
Phone (714) 331-7200

Organizations & group practices 3

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1467740571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 WESTERLY PL STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602333",
            "telephone_number": "714-540-9070",
            "fax_number": "714-549-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 WESTERLY PL STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602333",
            "telephone_number": "714-540-9070",
            "fax_number": "714-549-4525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25401 Cabot Rd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926535514",
            "country_code": "US",
            "telephone_number": "714-540-9070",
            "fax_number": "714-884-4347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1440 N Harbor Blvd Ste 725",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928354170",
            "country_code": "US",
            "telephone_number": "714-540-9070",
            "fax_number": "714-884-4347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY17646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.