Individual provider Active NPI

Ashley Wyatt, PPS

  • School Psychologist
  • Anderson, CA
National Provider Identifier
1790697936
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
250100586 Issued in CA
Practice address
2770 Balls Ferry Rd
Anderson, CA 96007-3537
Phone
(530) 378-7000
Fax
(530) 378-7031
NPI assigned
Sep 22, 2026
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 250100586 CA Primary

Addresses

Primary practice location

2770 Balls Ferry Rd
Anderson, CA 96007-3537

Mailing address

2770 Balls Ferry Rd
Anderson, CA 96007-3537
Phone (530) 378-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1790697936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 BALLS FERRY RD",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960073537",
            "telephone_number": "530-378-7000",
            "fax_number": "530-378-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 BALLS FERRY RD",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960073537",
            "telephone_number": "530-378-7000",
            "fax_number": "530-378-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "ASHLEY",
        "credential": "PPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "250100586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.