Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. WALTER JAMES VENERABLE III PHD
NPI 1194635870
Psychologist - Addiction (Substance Use Disorder) in French Camp, CA

Q: What is Walter Venerable's NPI number?

The NPI number for Walter Venerable is 1194635870. It was assigned to this individual provider in the NPPES registry on September 8, 2026.

Q: What is Walter Venerable's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Q: When was this NPI record last updated?

The NPPES record for Walter Venerable was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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 September 08, 2026

6505 S MANTHEY RD, FRENCH CAMP, CA 95231(916) 507-5579 Get Directions Write a Review

NPPES record added: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Dr. Walter James Venerable Iii Phd NPPES

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

DR. WALTER JAMES VENERABLE III PHD (NPI 1194635870) is an individual addiction (substance use disorder) provider in French Camp, California and active in the NPI registry since September 2026. He maintains a secondary practice location in Mcclellan.

NPPES Registry Identity

NPI1194635870

Entity TypeIndividualMale

Primary Taxonomy103TA0400X

Provider Legal NameDR. WALTER JAMES VENERABLE IIICredential: PHD

Location Address6505 S MANTHEY RDFrench Camp, CA 95231-9518

Mailing Address11958 Armandi WayRancho Cordova, CA 95742-6937

Phone(916) 507-5579

Sole ProprietorYes

Enumeration DateSeptember 8, 2026

NPPES CertifiedSeptember 8, 2026

✔ NPI 1194635870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code103TA0400X

Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

Also ListedPsychologistTaxonomy 103T00000X

6505 S MANTHEY RD, French Camp, CA 95231

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Secondary Practice Location 1

Location 15342 Dudley BlvdMcClellan, CA 95652-1012 · Phone (916) 561-7400

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

IVANIA HASLAM ROSADO

Social Worker (Clinical)