Individual provider Active NPI

Lisa Cristina Welch, PSYD

  • Clinical Psychologist
  • Bakersfield, CA
National Provider Identifier
1811323793
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY27678 Issued in CA
Practice address
3201 Park Bend CT
Bakersfield, CA 93309
Phone
(559) 283-0486
NPI assigned
Sep 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY27678 CA Primary

Addresses

Primary practice location

3201 Park Bend CT
Bakersfield, CA 93309

Mailing address

3201 Park Bend CT
Bakersfield, CA 93309-5696
Phone (559) 283-0486

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
I20170919000639 CA Practitioner - Clinical Psychologist 8729352588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Family HealthGroup PAC ID 9234176363, 93 clinicians

Practice addresses (Care Compare)

1014 Calloway Dr
BLDG F
Bakersfield, CA 93312-6337
Phone (866) 707-6664

1022 Calloway Dr
Bakersfield, CA 93312-6337
Phone (866) 707-6664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY27678CAMDClinical Psychologist
27678CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health Current Accepting new patients
Omni Family Health CurrentSince Aug 1, 2017 Accepting new patients
Omni Family Health CurrentSince Aug 1, 2017 Accepting new patients

Locations

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

210 N Chester Ave
Bakersfield, CA 93308
Phone (661) 325-6800

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lisa.giuliani.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 3

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": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1811323793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 PARK BEND CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933095696",
            "telephone_number": "559-283-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 PARK BEND CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93309",
            "telephone_number": "559-283-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "LISA",
        "middle_name": "CRISTINA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.