Lou Ann Wieand, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 11080 Issued in CA

Practice address

425 Gough St
Suite 1
San Francisco, CA 94102-4415

Phone

(415) 529-1232

NPI assigned

Jun 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1811199722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 GOUGH ST",
            "address_2": "SUITE 1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024415",
            "telephone_number": "707-499-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 GOUGH ST",
            "address_2": "SUITE 1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024415",
            "telephone_number": "415-529-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEAND",
        "first_name": "LOU",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-03",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY11080",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 11080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tinisha Wicks
• Michael Christian Resayo Wico
• Cheryl A Widdis, DDS
• Eric Walter Widera, M.D.
• Laurensia Hermy Widyastami, AGNP-BC
• Katherine Wiebe, PH.D.
• Eckehart Wiedemann, M.D.
• Neil Wiegand, PA-C
• Sarah Elizabeth Wiegand, DPT/PT
• David Thach Wiegn, MD

• Clinical Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.