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CAROLYN PEYTON WICKERSHAM RN, PMHNP-BC
NPI 1073936712
Nurse Practitioner - Psychiatric/Mental Health in Camarillo, CA

Active since January 31, 2014
601 E DAILY DR STE 110, CAMARILLO, CA 93010(805) 385-9460 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2023, Feb 8, 2016 (2 updates tracked since 2016).

About Carolyn Peyton Wickersham Rn, Pmhnp-bc NPPES

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

CAROLYN PEYTON WICKERSHAM RN, PMHNP-BC (NPI 1073936712) is an individual psychiatric/mental health provider in Camarillo, California, licensed in California (95002682) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1073936712
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCAROLYN PEYTON WICKERSHAMCredential: RN, PMHNP-BC
Location Address601 E DAILY DR STE 110Camarillo, CA 93010-5838
Mailing Address601 E Daily Dr Ste 110Camarillo, CA 93010-5838
Phone(805) 385-9460
Sole ProprietorYes
Enumeration DateJanuary 31, 2014
Last NPPES UpdateJune 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1073936712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95002682
601 E DAILY DR STE 110, Camarillo, CA 93010
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Other Providers at the Same Location NPPES 4

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

DR. CELIA MARIA WOODS M.D.
Psychiatry & Neurology (Psychiatry)
601 E DAILY DR STE 110
CAMARILLO, CA 93010
Ventura County (805) 485-5051
DR. DIANE ST. FLEUR M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
601 E DAILY DR STE 110
CAMARILLO, CA 93010
Ventura County (631) 513-6676
DR. SHANNON ENOCHS DNP, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
601 E DAILY DR STE 110
CAMARILLO, CA 93010
Ventura County (805) 485-5051
STERLING CARE PSYCHIATRIC GROUP, INC
Psychiatry & Neurology (Psychiatry)
601 E DAILY DR STE 110
CAMARILLO, CA 93010
Ventura County (805) 485-5051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Wickersham's NPI number?

The NPI number for Carolyn Wickersham is 1073936712. It was assigned to this individual provider in the NPPES registry on January 31, 2014.

Where is Carolyn Wickersham located?

Carolyn Wickersham practices at 601 E Daily Dr Ste 110, Camarillo, CA 93010. The listed phone number is (805) 385-9460.

What is Carolyn Wickersham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Carolyn Wickersham was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.