Dr Casey Wake, PSYD is a
Psychologist - Clinical based in Ventura, California. Dr Casey Wake is licensed to practice in California (license number PSY28390) and her current practice location is
5810 Ralston St Fl 2, Ventura, California. She can be reached at her office (for appointments etc.) via phone at
(805) 642-7033.
NPI number for Dr Casey Wake is 1932364007 and her current mailing address is 5810 Ralston St, Ventura, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932364007.
Healthcare Provider's Profile
| Full Name | Dr Casey Wake |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 5810 Ralston St Fl 2, Ventura, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932364007
- Provider Enumeration Date: 07/28/2008
- Last Update Date: 12/20/2017
Medical Identifiers
Medical identifiers for Dr Casey Wake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932364007 | NPI | - | NPPES |
| 7420 | Medicaid | CA | |
| 7068 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY28390 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Casey Wake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Casey Wake, PSYD
5810 Ralston St,
Ventura, CA 93003-5908
Ph: (805) 796-7637 | Dr Casey Wake, PSYD
5810 Ralston St Fl 2,
Ventura, CA 93003-5908
Ph: (805) 642-7033 |
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