Tim L Wigal, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY14209 Issued in CA

Practice address

19722 Macarthur Blvd
Irvine, CA 92612-2404

Phone

(949) 824-1812

Fax

(949) 824-1811

NPI assigned

May 6, 2010

Last updated

May 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Regents of University of California

  • Clinical Child & Adolescent Psychologist
  • Irvine, CA
  • NPI 1912186628
  Authorized official Same address or phone
• The University of California, Irvine - Child Development Center

  • Community/Behavioral Health Agency
  • Irvine, CA
  • NPI 1427365659
  Authorized official Same address or phone

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1679891253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19722 MACARTHUR BLVD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122404",
            "telephone_number": "949-824-1812",
            "fax_number": "949-824-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19722 MACARTHUR BLVD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122404",
            "telephone_number": "949-824-1812",
            "fax_number": "949-824-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGAL",
        "first_name": "TIM",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Whitney
• Leslie Whitney, PA-C
• Sarah Kay Whitney
• Logan Edward Wiedeman
• Sharon B Wigal, PH.D
• John Stephen Wikle, M.D.
• Wildwood Dentists, PA (Wildwood Dentists)
• Brittany F Wilkinson, BCBA
• Will M Wong D.D.S. Inc
• William C Mading, MD a Medical Corp

• Clinical Psychologist in Irvine, CA
• Providers in Irvine, 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 7, 2010; 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.