Active NPI
Wendy Wyman-McGinty, PH.D.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1710220058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 9974
- Practice address
- 1736 Westwood Blvd Ste 205
Los Angeles, CA 90024-5611 - Phone
- (310) 474-6106
- NPI assigned
- Apr 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 9974 | CA | Primary |
Addresses
Primary practice location
1736 Westwood Blvd Ste 205
Los Angeles, CA 90024-5611
Mailing address
927 Stanford St
Santa Monica, CA 90403-2223
Phone (310) 829-0511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 9974 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365120000000",
"number": "1710220058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 STANFORD ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904032223",
"telephone_number": "310-829-0511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1736 WESTWOOD BLVD STE 205",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245611",
"telephone_number": "310-474-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYMAN-MCGINTY",
"first_name": "WENDY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-05",
"last_updated": "2013-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 9974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.