Active NPI
David Welch, PH.D.
- Psychologist
- Newport Beach, CA
National Provider Identifier
1467740571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY17646
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY17646 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Laguna Hills, CA
- NPI 1265923817
-
- Psychologist
- Laguna Hills, CA
- NPI 1225696008
-
- Psychologist
- Anaheim, CA
- NPI 1366000143
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.