Annelie S. Purdy, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY5452 Issued in CA

Practice address

433 S Lincoln St
Santa Maria, CA 93458-5525

Phone

(805) 349-9706

Fax

(805) 349-0576

NPI assigned

Jan 29, 2006

Last updated

Dec 21, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1973

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Annelie S Purdy PHD Inc

  • Clinical Psychologist
  • Santa Maria, CA
  • NPI 1336327071
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1138492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1982675930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 S LINCOLN ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934585525",
            "telephone_number": "805-349-9706",
            "fax_number": "805-349-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 S LINCOLN ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934585525",
            "telephone_number": "805-349-9706",
            "fax_number": "805-349-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "ANNELIE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-29",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY5452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00PL5452",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSING NO.",
            "identifier": "PSY5452",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jon W Propst, MD
• Sandra Provencio
• Alberta Pruitt, PA
• Arely Pulido, CPHW
• Victor Ismael Pulido, D.O.
• Purnima Sheoran DDS, Inc (Mai Dental Care)
• Earl W Purper, MFT
• Sarah Rose Purtell
• Quality Dental Care
• Martha-Ann Quang

• Clinical Psychologist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.

Verify at the official NPI Registry.