Kathryn Torbush Wiggins, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1249 Issued in NM

Practice address

552 Agua Fria St
Santa Fe, NM 87501-2508

Phone

(505) 982-3113

Fax

(505) 982-2462

NPI assigned

Dec 26, 2012

Sex

Female

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

Enrolled in NM

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Zia Community Cares, LLC

  • Clinical Psychologist
  • Albuquerque, NM
  • NPI 1831710490
  Medicare reassignment NPD
• Southwest Cares NV LLC

  • Clinical Psychologist
  • Santa Fe, NM
  • NPI 1053632851
  NPD (past)

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1942546767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 CIELO VISTA DEL SUR",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870488911",
            "telephone_number": "505-385-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 AGUA FRIA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012508",
            "telephone_number": "505-982-3113",
            "fax_number": "505-982-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "KATHRYN",
        "middle_name": "TORBUSH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "1249",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NM",
            "license": "1249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori A. Whittaker, MD
• Whole Body Wellness
• Whole Child Dental, LLC
• Daniel Whonsetler, PA-C
• Jerusha Nichole Wienecke-Rascoe
• Roger G Wiggins, MD
• Monika Relph Wikman
• Jacob Wilcox, DOM
• Wild Iris Wellness LLC
• Wild Rose Hand Therapy LLC

• Clinical Psychologist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinical Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.