Kirk R. Wachtmann, PH.D., Apc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY5830 Issued in CA

Legal business name

KIRK R. WACHTMANN, PH.D., APC

Practice address

4060 Fourth Ave
Suite 615
San Diego, CA 92103-2116

Phone

(619) 977-6007

NPI assigned

Aug 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kirk Robert Wachtmann, PH.D.

Title

President

Phone

(619) 977-6007

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Howard Randall Hicks, MD

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1073628228
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1497901391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 FOURTH AVE",
            "address_2": "SUITE 615",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032116",
            "telephone_number": "619-977-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 FOURTH AVE",
            "address_2": "SUITE 615",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032116",
            "telephone_number": "619-977-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK R. WACHTMANN, PH.D., APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "WACHTMANN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-977-6007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY5830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Ann Kirby
• Theo H Kircher Jr., D.C.
• Rachel Kirchhofer, ASW
• Heather Anne Kirchhoff
• Jacqueline Elizabeth Kirchner, LMFT 150218
• David Kirk, ND
• J William Kirk, IDC
• Kayleigh Kirk
• Ryan Kirk, BCBA
• Suzanne Barbara Kirk, MFT

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.