Organization Active NPI

Jennifer C. Wendt, PH.D., Psychological Services, Inc.

  • Psychologist
  • San Diego, CA
National Provider Identifier
1689160491
Registry record updated Jul 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
JENNIFER C. WENDT, PH.D., PSYCHOLOGICAL SERVICES, INC.
Practice address
10531 4S Commons Dr Ste 477
San Diego, CA 92127-3517
Phone
(619) 309-5956
NPI assigned
Jul 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2018

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

Authorized official

Name
Dr. Jennifer C Wendt, PH.D.
Title
Ceo
Phone
(619) 309-5956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

10531 4S Commons Dr Ste 477
San Diego, CA 92127-3517

Mailing address

17308 Libertad Dr
San Diego, CA 92127-1335
Phone (619) 309-5956

National Provider Directory

National Provider Directory

Locations

10531 4S Commons Dr
Ste 477
San Diego, CA 92127
Phone (619) 309-5956

NPI Registry JSON

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

{
    "created_epoch": "1530662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530662400000",
    "number": "1689160491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17308 LIBERTAD DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271335",
            "telephone_number": "619-309-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10531 4S COMMONS DR STE 477",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273517",
            "telephone_number": "619-309-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER C. WENDT, PH.D., PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-04",
        "last_updated": "2018-07-04",
        "status": "A",
        "authorized_official_last_name": "WENDT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-309-5956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2018; 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.