Active NPI
Wendy Maxine Walsh, PH.D.
- Clinical Psychologist
- Woodland Hills, CA
National Provider Identifier
1821204892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY16475
- Practice address
- 20300 Ventura Blvd
Woodland Hills, CA 91364 - Phone
- (818) 825-1338
- Fax
- (818) 716-0376
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | PSY16475 | CA | Primary |
Addresses
Primary practice location
20300 Ventura Blvd
Woodland Hills, CA 91364
Mailing address
7861 Sale Ave
West Hills, CA 91304-4633
Phone (818) 825-1338
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY16475 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821204892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7861 SALE AVE",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913044633",
"telephone_number": "818-825-1338",
"fax_number": "818-716-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20300 VENTURA BLVD",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "91364",
"telephone_number": "818-825-1338",
"fax_number": "818-716-0376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "WENDY",
"middle_name": "MAXINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY16475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.