Michael Alan Wald, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7152 Issued in NY

Practice address

1889 Palmer Ave
Larchmont, NY 10538-3055

Phone

(914) 834-2545

Fax

(914) 834-5925

NPI assigned

May 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

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.

Opted out of Medicare

Yes, effective Oct 6, 2015 through Oct 6, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821209180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1889 PALMER AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383055",
            "telephone_number": "914-834-2545",
            "fax_number": "914-834-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1889 PALMER AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383055",
            "telephone_number": "914-834-2545",
            "fax_number": "914-834-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALD",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "7152",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "1486",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki J. Ehrlich, Psy.D., PC
• Nancy Ellen Vitulli, RD
• Rebecca Wachter, MD
• Kari Lynn Waddington, M.P.T.
• Marc Douglas Wager, MD
• Walgreen Co (Walgreens #15104)
• Elizabeth R Ward, PH.D.
• Henry Wei, M.D.
• Teri B Weinstock, OT
• Lisa Karen Weiss, PH.D.

• Clinical Psychologist in Larchmont, NY
• Providers in Larchmont, NY by specialty
• Clinical Psychologist in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.