David Michael Wolgin, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

27046 Issued in CA

Practice address

1111 E Tahquitz Canyon Way Ste 209
Palm Springs, CA 92262-0102

Phone

(760) 424-2266

Fax

(760) 424-2266

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Psychology Health Group

  • Psychologist
  • Davenport, IA
  • NPI 1629090675
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1679686083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E TAHQUITZ CANYON WAY STE 209",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922620102",
            "telephone_number": "760-424-2266",
            "fax_number": "760-424-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E TAHQUITZ CANYON WAY STE 209",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922620102",
            "telephone_number": "760-424-2266",
            "fax_number": "760-424-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLGIN",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "27046",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7114",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PROVIDER NUMBER",
            "identifier": "405446",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "WO 5934",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sidney Christopher Winter, LMFT
• Jessica Elise Wisniewski, PHARMD
• Bradley Evan Wolff, D.C.
• Gregg Wolff, MD
• Brad A Wolfson, MD
• Margaret Mary Wolohan, IMF
• David Wong, M.D.
• Douglas Wong, CMT
• Gustavo C. Wong, RDN, CDE, EP-C
• Kevin Wong, DO

• Clinical Psychologist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.