Darrell Walters, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

33348 Issued in CA

Practice address

1137 2ND St Ste 216
Santa Monica, CA 90403-5077

Phone

(310) 699-8650

NPI assigned

May 14, 2015

Sex

Male

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

State licenses

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1811375447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 2ND ST STE 216",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035077",
            "telephone_number": "310-699-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 2ND ST STE 216",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035077",
            "telephone_number": "310-699-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "DARRELL",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "33348",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "33348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Wallenstein
• Wendy Walsdorf, LMFT
• Therese Anne Walsh, L.AC., PH.D.
• Walter K Theis MD a Medical Corporation
• Anique Walters, DPT
• Kenneth Brian Waltzer, M.D.
• Chelsea Wan, L.AC.
• Canty Wang
• Fang Yu Wang, DMD
• Fengtao Wang, L.AC

• Clinical Neuropsychologist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.