Active NPI
Kristen Wheldon
- Forensic Psychologist
- South Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- PSY27027
- Practice address
- 1800 Fair Oaks Ave Ste C
South Pasadena, CA 91030-4778 - Phone
- (657) 226-1447
- NPI assigned
- Sep 9, 2010
- Last updated
- Jan 23, 2020
- 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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | PSY27027 | CA | Primary |
Addresses
Primary practice location
1800 Fair Oaks Ave Ste C
South Pasadena, CA 91030-4778
Mailing address
1800 Fair Oaks Ave Ste C
South Pasadena, CA 91030-4778
Phone (657) 226-1447
Other practice location 1
Hwy 1
San Luis Obispo, CA 93409-8101
Phone (805) 547-7900 ext. 4121
Other names 1
- Kristen Wheldon
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | theranest.com |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200609001489 | CA | Practitioner - Clinical Psychologist | 8921429473 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1800 Fair Oaks Ave C
South Pasadena, CA 91030-4778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY27027 | CA | MD | Forensic Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheldon Psychological Services, Inc. | Current | Accepting new patients | |
| Corrections and Rehabilitation-Headquarters | Past | Accepting new patients | |
| Corrections and Rehabilitation-Headquarters | Past | Accepting new patients |
Locations
1800 Fair Oaks Ave
Ste C
South Pasadena, CA 91030
Phone (626) 792-4747
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- South Pasadena, CA
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- Pharmacy
- San Luis Obispo, CA
- NPI 1023644580
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dba California Mens Colony Pharmacy
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1881901080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 FAIR OAKS AVE STE C",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910304778",
"telephone_number": "657-226-1447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 FAIR OAKS AVE STE C",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910304778",
"telephone_number": "657-226-1447"
}
],
"practiceLocations": [
{
"address_1": "Hwy 1",
"address_purpose": "LOCATION",
"city": "San Luis Obispo",
"state": "CA",
"postal_code": "934098101",
"country_code": "US",
"telephone_number": "805-547-7900 x4121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHELDON",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-09",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY27027",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "theranest.com",
"affiliation": "N",
"address_1": "1800 Fair Oaks Ave Ste C",
"city": "South Pasadena",
"state": "CA",
"country_code": "US",
"postal_code": "910304778",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "WHELDON",
"credential": "PSY.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in South Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.