Elizabeth Poulsen Wiegand, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

29333 Issued in CA

Practice address

3609 Ocean Ranch Blvd Ste 208&209
Oceanside, CA 92056-2698

Phone

(858) 279-1223

Fax

(858) 467-7161

NPI assigned

Jul 23, 2013

Sex

Female

Sole proprietor

No

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

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Pacific Coast Psychiatric Associates Inc

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1023125465

  CA

  Medicare reassignment Care Compare group NPD
• Pacific Coast Psychiatric Associates Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1063044410
  NPD (past)
• Psycare Inc

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1811927106

  Clinical

  NPD (past)

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1992147680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 OCEAN RANCH BLVD STE 208&209",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920562698",
            "telephone_number": "858-279-1223",
            "fax_number": "858-467-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 OCEAN RANCH BLVD STE 208&209",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920562698",
            "telephone_number": "858-279-1223",
            "fax_number": "858-467-7161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23370 Road 22",
            "address_purpose": "LOCATION",
            "city": "Chowchilla",
            "state": "CA",
            "postal_code": "936108504",
            "country_code": "US",
            "telephone_number": "553-665-5531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEGAND",
        "first_name": "ELIZABETH",
        "middle_name": "POULSEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "29333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sequieta Whitfield
• Brenda Arlene Whitt
• Amanda Whittaker Davis, LEP
• Nicole Marie Whittaker
• Devonna Wicks
• Maren Elizabeth Wiegers, PT
• Sarah Rose Wiestling
• Rudolph Wietfeldt, PSYD
• Joely Wiggins
• Alice Wight

• Clinical Psychologist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.