Active NPI
Judy Welch, PSY.D
- Marriage & Family Therapist
- Thousand Oaks, CA
National Provider Identifier
1770724288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT15020
- Practice address
- 509 Marin Street
Suite 234
Thousand Oaks, CA 91360-4321 - Phone
- (805) 373-1813
- Fax
- (805) 492-4975
- NPI assigned
- Mar 12, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LEP2016 | CA | |
| Marriage & Family Therapist | 106H00000X | MFT15020 | CA | Primary |
Addresses
Primary practice location
509 Marin Street
Suite 234
Thousand Oaks, CA 91360-4321
Mailing address
509 Marin Street
Suite 234
Thousand Oaks, CA 91360-4321
Phone (805) 373-1813
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 |
|---|---|---|---|
| LEP2016 | CA | MD | Psychologist |
| MFT15020 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236816000000",
"number": "1770724288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 MARIN STREET",
"address_2": "SUITE 234",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913604321",
"telephone_number": "805-373-1813",
"fax_number": "805-492-4975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 MARIN STREET",
"address_2": "SUITE 234",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913604321",
"telephone_number": "805-373-1813",
"fax_number": "805-492-4975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "JUDY",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-12",
"last_updated": "2009-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "LEP2016",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT15020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.