Individual provider Active NPI

Cynthia Ann Woelfel, PHD

  • Clinical Psychologist
  • Santa Ana, CA
National Provider Identifier
1588775753
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
CA PSY10778 Issued in CA
Practice address
505 N Tustin Ste 188
Santa Ana, CA 92705-3735
Phone
(714) 505-1810
Fax
(714) 543-5345
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X CA PSY10778 CA Primary

Addresses

Primary practice location

505 N Tustin Ste 188
Santa Ana, CA 92705-3735

Mailing address

505 N Tustin Ste 188
Santa Ana, CA 92705-3735
Phone (714) 505-1810

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
CA PSY10778CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588775753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N TUSTIN STE 188",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053735",
            "telephone_number": "714-505-1810",
            "fax_number": "714-543-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N TUSTIN STE 188",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053735",
            "telephone_number": "714-505-1810",
            "fax_number": "714-543-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOELFEL",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "CA  PSY10778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.