Renee Marie Wilkinson, PH.D.

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

20882 Issued in CA

Practice address

114 Buccaneer St
Marina del Rey, CA 90292-5116

Phone

(213) 709-0999

Fax

(213) 404-7999

NPI assigned

Jul 31, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1982835419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5324",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904095324",
            "telephone_number": "213-709-0999",
            "fax_number": "213-404-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BUCCANEER ST",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925116",
            "telephone_number": "213-709-0999",
            "fax_number": "213-404-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "20882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Whalen, D.P.T.
• La Creasure White, NP-C
• Erin V Wigger, LMFT
• Gary Dewayne Wiley Jr., PA-C
• Samantha Wilhelm, MS, PA-C
• William G Lang MD a Professional Corporation
• William Ginzburg Dental Center Inc
• Alesa Ione Williams, COTA
• Rekia Willingham
• Gabriel Isaac Wilson I, ATC

• Forensic Psychologist in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Forensic Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.