Individual provider Active NPI

Deborah Willson Bilder, PHD

  • Psychologist
  • Santa Monica, CA
National Provider Identifier
1508526500
Registry record updated Dec 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
19038 Issued in CA
Practice address
2444 Wilshire Blvd Ste 502
Santa Monica, CA 90403-5809
Phone
(310) 826-8889
NPI assigned
Dec 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 19038 CA Primary

Addresses

Primary practice location

2444 Wilshire Blvd Ste 502
Santa Monica, CA 90403-5809

Mailing address

2444 Wilshire Blvd Ste 502
Santa Monica, CA 90403-5809
Phone (310) 826-8889

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
19038CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1639872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639872000000",
    "number": "1508526500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 WILSHIRE BLVD STE 502",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035809",
            "telephone_number": "310-826-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 WILSHIRE BLVD STE 502",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035809",
            "telephone_number": "310-826-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILDER",
        "first_name": "DEBORAH",
        "middle_name": "WILLSON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-19",
        "last_updated": "2021-12-19",
        "certification_date": "2021-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "19038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2021; 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.