Active NPI
Mary Waalk, AMFT
- Marriage & Family Therapist
- Yucca Valley, CA
National Provider Identifier
1740141407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 156605
- Practice address
- 7398 Fox TRL Ste a
Yucca Valley, CA 92284-2599 - Phone
- (760) 369-0294
- NPI assigned
- Nov 21, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 156605 | CA | Primary |
Addresses
Primary practice location
7398 Fox TRL Ste a
Yucca Valley, CA 92284-2599
Mailing address
60616 Lamirada Trail
Joshua Tree, CA 92252
Phone (760) 369-0294
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156605 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1740141407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60616 LAMIRADA TRAIL",
"city": "JOSHUA TREE",
"state": "CA",
"postal_code": "92252",
"telephone_number": "760-369-0294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7398 FOX TRL STE A",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922842599",
"telephone_number": "760-369-0294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAALK",
"first_name": "MARY",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-21",
"last_updated": "2025-11-21",
"certification_date": "2025-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "156605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.