Althea V. Wolaver, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY16382

Practice address

66565 Acoma Ave. #63
Desert Hot Springs, CA 92240

Phone

(951) 551-4146

Fax

(951) 763-0805

NPI assigned

Jan 25, 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

Other identifiers 1

Other names 1

• Ms. Althea May Vanderwest Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Vericare of California Medical Group

  • Clinical Psychologist
  • Paradise, CA
  • NPI 1316992829
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1720134711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66565 ACOMA AVE. #63",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "92240",
            "telephone_number": "951-551-4146",
            "fax_number": "951-763-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66565 ACOMA AVE. #63",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "92240",
            "telephone_number": "951-551-4146",
            "fax_number": "951-763-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLAVER",
        "first_name": "ALTHEA",
        "middle_name": "V.",
        "name_prefix": "Ms.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": "PSY16382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "PSY16382",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALTHEA",
            "last_name": "VANDERWEST",
            "middle_name": "MAY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Williams, RN
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• Garrett Nicholas Savard Williams
• Kenneth Williams, A052240321
• Samaria A Williams
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• Lester Clint Worthington
• Lorisa Yancy
• Lengpea Yang
• Adriana C Ybarra, L.C.S.W.

• Psychologist in Desert Hot Springs, CA
• Providers in Desert Hot Springs, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.