SUSAN M. WAX PHD
NPI 1053445460
Psychologist - Clinical in Santa Barbara, CA

Q: What is Susan Wax's NPI number?

The NPI number for Susan Wax is 1053445460. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Q: What is Susan Wax's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Susan Wax enrolled in Medicare?

No. Susan Wax has opted out of Medicare through December 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Susan Wax was last updated on April 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 15, 2007Opted out of Medicare · through Dec 15, 2027

1010 GARDEN ST, SANTA BARBARA, CA 93101(805) 965-5040(805) 965-5040 Get Directions Write a Review

NPPES record last updated: April 13, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Susan M. Wax Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN M. WAX PHD (NPI 1053445460) is an individual clinical provider in Santa Barbara, California, licensed in California (PSY10519) and active in the NPI registry since March 2007. She has opted out of Medicare through December 15, 2027.

NPPES Registry Identity

NPI1053445460

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSUSAN M. WAXCredential: PHD

Location Address1010 GARDEN STSanta Barbara, CA 93101-1417

Mailing Address1010 Garden StSanta Barbara, CA 93101-1417 · (805) 965-5040 · Fax (805) 965-5040

Phone(805) 965-5040

Fax(805) 965-5040

Sole ProprietorYes

Enumeration DateMarch 15, 2007

Last NPPES UpdateApril 13, 2011

✔ NPI 1053445460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY10519

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License PSY10519 (CA)

Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License PSY10519 (CA)

1010 GARDEN ST, Santa Barbara, CA 93101

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susan M. Wax Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 15, 2025 through December 15, 2027.

Opt-Out Effective DateDecember 15, 2025

Opt-Out In Effect ThroughDecember 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LINDA SOLTER LYNN MD

Psychiatry & Neurology (Psychiatry)