Active NPI
Waves, a Psychological Corporation
- Clinical Psychologist
- Poway, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 27497
- Legal business name
- WAVES, A PSYCHOLOGICAL CORPORATION
- Practice address
- 15525 Pomerado Rd
Suite C-5
Poway, CA 92064-2435 - Phone
- (619) 403-5578
- Fax
- (866) 273-9073
- NPI assigned
- Dec 27, 2016
- Last updated
- Dec 27, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Abigail Weissman, PSY.D.
- Title
- Chairwoman and Psychologist
- Phone
- (619) 403-5578
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 27497 | CA | Primary |
Addresses
Primary practice location
15525 Pomerado Rd
Suite C-5
Poway, CA 92064-2435
Mailing address
15525 Pomerado Rd
Suite C-5
Poway, CA 92064-2435
Phone (619) 403-5578
National Provider Directory
National Provider DirectoryLocations
15525 Pomerado Rd
Ste C5
Poway, CA 92064
Phone (619) 375-0913
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Poway, CA
- NPI 1609109503
-
- Mental Health Counselor
- Poway, CA
- NPI 1598047086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482796800000",
"number": "1619412806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15525 POMERADO RD",
"address_2": "SUITE C-5",
"city": "POWAY",
"state": "CA",
"postal_code": "920642435",
"telephone_number": "619-403-5578",
"fax_number": "866-273-9073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15525 POMERADO RD",
"address_2": "SUITE C-5",
"city": "POWAY",
"state": "CA",
"postal_code": "920642435",
"telephone_number": "619-403-5578",
"fax_number": "866-273-9073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAVES, A PSYCHOLOGICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-27",
"last_updated": "2016-12-27",
"status": "A",
"authorized_official_last_name": "WEISSMAN",
"authorized_official_first_name": "ABIGAIL",
"authorized_official_title_or_position": "CHAIRWOMAN AND PSYCHOLOGIST",
"authorized_official_telephone_number": "619-403-5578",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 27497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.