Individual provider Active NPI

Deanna Aileen Waugh, PSY.D.

  • Psychologist
  • Selma, CA
National Provider Identifier
1760648604
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY31184 Issued in CA
Practice address
2141 High St Ste B
Selma, CA 93662-3065
Phone
(559) 856-6110
NPI assigned
Jul 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7073 NC
Psychologist 103T00000X 1984 HI
Psychologist 103T00000X PSY31184 CA Primary

Addresses

Primary practice location

2141 High St Ste B
Selma, CA 93662-3065

Mailing address

PO Box 6242
Visalia, CA 93290-6242
Phone (808) 554-9507

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220728001133 CA Practitioner - Clinical Psychologist 9335521004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Central Valley General HospitalGroup PAC ID 8325957517, 89 clinicians

Practice addresses (Care Compare)

1025 N Douty St
Hanford, CA 93230-3722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7073NCMDMental Health Counselor
PSY31184CAMDPsychologist
1984HIMDPsychologist
31184CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Reedley Community Hospital CurrentSince May 11, 2022 Accepting new patients
Reedley Community Hospital CurrentSince May 11, 2022 Accepting new patients

Locations

1025 N Douty St
Hanford, CA 93230
Phone (559) 537-0170

48677 Victoria Ln
Oakhurst, CA 93644
Phone (559) 683-2711

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

2141 High St
Ste B
Selma, CA 93662
Phone (559) 856-6110

2141 High St
Selma, CA 93662
Phone (559) 856-6110

2059 Hillman St
Tulare, CA 93274
Phone (559) 605-0090

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1760648604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6242",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932906242",
            "telephone_number": "808-554-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 HIGH ST STE B",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623065",
            "telephone_number": "559-856-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAUGH",
        "first_name": "DEANNA",
        "middle_name": "AILEEN",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7073",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "1984",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY31184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, CA

Sources for this page

Verify at the official NPI Registry.