DR. THEA WITHINGTON WILSHIRE (NPI# 1134269202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134269202 |
| Entity Type | Individual |
| Full Name | DR. THEA WITHINGTON WILSHIRE |
| Credential | PH.D. |
| Practice Address |
5 San Carlos Blvd San Carlos AZ 85550 |
| Mailing Address |
P. O. Box 0 San Carlos AZ 85550 |
| Practice Telephone | 9284752798 |
| Practice Fax Number | 9284754880 |
| Mailing Telephone | 9284752798 |
| Mailing Fax Number | 9284754880 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 3578 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
5 SAN CARLOS BLVD |
| City | SAN CARLOS |
| State | AZ |
| Zip Code | 85550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821586686 | San Carlos Apache Tribe | Community/Behavioral Health | San Carlos Social Services, 7 San Carlos Avenue, San Carlos, AZ 85550 | 2018-04-27 |
| 1568871762 | Aleksandra J Slaski | Counselor | Building 5 San Carlos Avenue, San Carlos, AZ 85550 | 2014-08-13 |
| 1619237377 | Justin Scott Phelps | Psychologist | 5 San Carlos Blvd., San Carlos, AZ 85550 | 2012-05-29 |
| 1669752622 | Sasha Melisa Latonis | Pharmacist | 208 Cibecue Cir, San Carlos, AZ 85550 | 2011-08-23 |
| 1699060343 | Paul Ray Delgado | Pharmacist | 208 Cibique Circle, San Carlos, AZ 85550 | 2011-06-10 |
| 1639481815 | Carlos Duarte | Family Medicine | 1 Vassar Dr Ne, Usphs Indian Hospital, San Carlos, AZ 85550 | 2010-07-05 |
| 1225355290 | Robert Reed Henley | Psychologist | 5 San Carlos Avenue, San Carlos, AZ 85550 | 2010-04-29 |
| 1912234576 | John Paul Hartman | Naturopath | 238 Seneca, San Carlos, AZ 85550 | 2009-11-03 |
| 1609015148 | Pamela Kay Kloote | Pharmacist | 208 Cibeque Circle, San Carlos, AZ 85550 | 2009-02-06 |
| 1689868317 | Jacqueline Ann Tutt | Licensed Practical Nurse | Skill Center Rd., San Carlos, AZ 85550 | 2007-09-06 |
| Find all providers in zip 85550 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457731903 | Christy Aleene Blevins | Psychologist | 520 Elm St, Apt 32, San Carlos, CA 94070-2232 | 2015-05-30 |
| 1225355290 | Robert Reed Henley | Psychologist | 5 San Carlos Avenue, San Carlos, AZ 85550 | 2010-04-29 |
| 1770731994 | Natasha Noel Kruger | Psychologist | 335 Quarry Rd, San Carlos, CA 94070-6217 | 2008-08-29 |
| 1093856098 | Brian William Tierney | Psychologist | 160 Vista Del Grande, San Carlos, CA 94070-2929 | 2007-02-11 |
| 1073957577 | Cynthia Oei | Psychologist | 335 Quarry Rd, San Carlos, CA 94070-6217 | 2013-04-26 |
| 1538439815 | Teresa Gallenstein | Psychologist | 5 San Carlos Ave, San Carlos, AZ 85550-1379 | 2012-01-04 |
| 1639400310 | Anna Maria Mc Quinn | Psychologist | 1395 San Carlos Ave, Suite C, San Carlos, CA 94070-2388 | 2010-01-20 |
| 1376611053 | Christine D'alessandro | Psychologist | 957 Industrial Rd, San Carlos, CA 94070-4151 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346853454 | Tim Buschmann | Psychologist | 5288 S Azurite Trl, Flagstaff, AZ 86005-6812 | 2020-08-28 |
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1871116632 | Rhonda L. Smith | Psychologist | 4032 E Whitman St, Tucson, AZ 85711-2854 | 2020-05-27 |
| 1902426208 | Elisabetta Ambrosia | Psychologist | 4605 N Paseo Aquimuri, Tucson, AZ 85750-1613 | 2020-04-16 |
| 1861011314 | Nicole Marie Burr | Psychologist | 416 E Sheffield Ave, Chandler, AZ 85225-1157 | 2020-04-15 |
| 1760036826 | Rehabilitation Psychological Services | Psychologist | 2126 N Catalina Ave Unit 1, Tucson, AZ 85712-3364 | 2019-07-27 |
| 1831759240 | The University of Arizona | Psychologist | 1335 N Cherry Ave, Tucson, AZ 85721-0105 | 2019-06-18 |
| 1750849519 | Savannah Wright | Psychologist | 3001 S Pantano Edge Dr, Tucson, AZ 85730-2051 | 2019-03-11 |
| 1720552193 | Paul Andrew Nockels | Psychologist | 3600 Fox Lair Dr, Flagstaff, AZ 86004-7796 | 2019-01-17 |
| 1497226864 | Austin Mccall | Psychologist | 4425 W Olive Ave Ste 151, Glendale, AZ 85302-3855 | 2018-12-11 |
| Find all providers with the same taxonomy | ||||
| City | SAN CARLOS |
| Zip Code | 85550 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.