Gail Uellendahl, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY12802 Issued in CA

Practice address

3324 Butler Ave
Los Angeles, CA 90066-1306

Phone

(310) 621-2530

NPI assigned

Jan 17, 2007

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Performance Prosthetic Orthotic Center

  dba Performance Prosthetics and Orthotics Specialists

  • Durable Medical Equipment & Medical Supplies
  • Santa Monica, CA
  • NPI 1265440234
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1710039805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 BUTLER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900661306",
            "telephone_number": "310-621-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 BUTLER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900661306",
            "telephone_number": "310-621-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UELLENDAHL",
        "first_name": "GAIL",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY12802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christ Udtohan, LVN
• Stefanie Woantzu Tang Uechi, RN, MSN, FNP-BC
• Joyce Junko Ueda, PHARMD
• Laura Aiko Uehara, CNM, WHNP-BC
• Keri Uejo Marchand, L.AC., DIPL. O.M.
• Jaqueline Ueng
• Miki Emi Ueoka
• Uevolution PT Inc
• Meka Adi Uffenheimer, MD
• Emily Sarah Ufland

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.