Organization Active NPI

De Anda Psychological Services LTD

  • Psychologist
  • Whittier, CA
National Provider Identifier
1700441854
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
DE ANDA PSYCHOLOGICAL SERVICES LTD
Practice address
13502 Whittier Blvd # H-507
Whittier, CA 90605-1945
Phone
(714) 623-0997
NPI assigned
May 3, 2019
Last updated
Dec 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Authorized official

Name
Wray E De Anda, PSY.D 25484NPI 1396993127
Title
Clinical Psychologist
Phone
(714) 623-0997

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)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

13502 Whittier Blvd # H-507
Whittier, CA 90605-1945

Mailing address

13502 Whittier Blvd # H-507
Whittier, CA 90605-1945
Phone (714) 623-0997

Other identifiers 1

IdentifierTypeStateIssuer
1396993127OtherCANPI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drdeanda.com Other

National Provider Directory

National Provider Directory

Locations

13502 Whittier Blvd
#H507
Whittier, CA 90605
Phone (714) 623-0997

13601 Whittier Blvd
Ste 310
Whittier, CA 90605
Phone (714) 623-0997

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1700441854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13502 WHITTIER BLVD # H-507",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051945",
            "telephone_number": "714-623-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13502 WHITTIER BLVD # H-507",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051945",
            "telephone_number": "714-623-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE ANDA PSYCHOLOGICAL SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "DE ANDA",
        "authorized_official_first_name": "WRAY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "714-623-0997",
        "authorized_official_credential": "PSY.D 25484"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396993127",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drdeanda.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website with links",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13502 Whittier Blvd # H-507",
            "city": "Whittier",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906051945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.