Corinne E.D. Wickett

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1052207 Issued in CA

Practice address

6515 Sandy Point CT
Rancho Palos Verdes, CA 90275-5871

Phone

(818) 437-0378

Fax

(877) 258-0470

NPI assigned

Aug 29, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wickett Behavioral Solutions

  • Behavior Analyst
  • Rancho Palos Verdes, CA
  • NPI 1174064174
  NPD (past) Authorized official

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669721254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 SANDY POINT CT",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902755871",
            "telephone_number": "818-437-0378",
            "fax_number": "877-258-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 SANDY POINT CT",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902755871",
            "telephone_number": "818-437-0378",
            "fax_number": "877-258-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKETT",
        "first_name": "CORINNE",
        "middle_name": "E.D.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1052207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Moncur Webster, M.D.
• Lolita Wee, CRNA
• Westmont Optometry
• John Richard White, M.D.
• Wickett Behavioral Solutions
• Frederick D Williams, M.D.
• George Wissa, PHARMD
• Walter R. Wolleat, O.D.
• Mary Jo Wolowicz, MFT
• Cindy Chunchung Wong, RPH

• Behavior Analyst in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.