Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KATHLEEN J WADDELL PHD
NPI 1285629329
Psychologist - Clinical in San Luis Obispo, CA

Active since September 14, 2005
1521 HIGUERA ST, STE E, SAN LUIS OBISPO, CA 93401(805) 541-8116(805) 542-0302 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kathleen J Waddell Phd NPPES

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

DR. KATHLEEN J WADDELL PHD (NPI 1285629329) is an individual clinical provider in San Luis Obispo, California, licensed in California (PSY5636) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1285629329
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KATHLEEN J WADDELLCredential: PHD
Location Address1521 HIGUERA ST, STE ESan Luis Obispo, CA 93401-2958
Mailing Address815 Skyline DrSan Luis Obispo, CA 93405-1053 · (805) 541-8116 · Fax (805) 542-0302
Fax(805) 542-0302
Sole ProprietorNo
Enumeration DateSeptember 14, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1285629329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY5636
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.
1521 HIGUERA ST, San Luis Obispo, CA 93401

Other Providers at the Same Location NPPES 2

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

Psychologist (Clinical)
1521 HIGUERA ST, SUITE E
SAN LUIS OBISPO, CA 93401
Psychiatry & Neurology (Psychiatry)
1521 HIGUERA ST, SUITE F
SAN LUIS OBISPO, CA 93401

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 Kathleen Waddell's NPI number?

The NPI number for Kathleen Waddell is 1285629329. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Kathleen Waddell located?

Kathleen Waddell practices at 1521 Higuera St Ste E, San Luis Obispo, CA 93401. The listed phone number is (805) 541-8116.

What is Kathleen Waddell's specialty?

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

When was this NPI record last updated?

The NPPES record for Kathleen Waddell was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.