Active NPI
Janelle Wohltmann Myhre, PH.D.
- Clinical Psychologist
- Cupertino, CA
National Provider Identifier
1811361850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 27616
- Practice address
- 19000 Homestead Rd
BLDG 2, Floor 2
Cupertino, CA 95014-0712 - Phone
- (408) 366-4281
- NPI assigned
- Nov 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 27616 | CA | Primary |
Addresses
Primary practice location
19000 Homestead Rd
BLDG 2, Floor 2
Cupertino, CA 95014-0712
Mailing address
19000 Homestead Rd
BLDG 2, Floor 2
Cupertino, CA 95014-0712
Phone (408) 366-4281
Other names 1
- Janelle Joann Wohltmann
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 27616 | CA | MD | Clinical Psychologist |
| 27616 | CA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1811361850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19000 HOMESTEAD RD",
"address_2": "BLDG 2, FLOOR 2",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950140712",
"telephone_number": "408-366-4281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19000 HOMESTEAD RD",
"address_2": "BLDG 2, FLOOR 2",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950140712",
"telephone_number": "408-366-4281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYHRE",
"first_name": "JANELLE",
"middle_name": "WOHLTMANN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-13",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 27616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANELLE",
"last_name": "WOHLTMANN",
"middle_name": "JOANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.