Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. THOMAS FREDERICK WYLIE PH.D.
NPI 1336209774
Psychologist in San Luis Obispo, CA

Active since December 08, 2006PECOS Enrolled
11573 LOS OSOS VALLEY RD, SUITE C, SAN LUIS OBISPO, CA 93405(805) 545-8951(805) 545-8951 Get Directions Write a Review

NPPES record last updated: July 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Dr. Thomas Frederick Wylie Ph.d. NPPES

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

DR. THOMAS FREDERICK WYLIE PH.D. (NPI 1336209774) is an individual psychologist in San Luis Obispo, California, licensed in California (PSY12486) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336209774
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. THOMAS FREDERICK WYLIECredential: PH.D.
Location Address11573 LOS OSOS VALLEY RD, SUITE CSan Luis Obispo, CA 93405-6473
Mailing Address11573 Los Osos Valley Rd, Suite CSan Luis Obispo, CA 93405-6473 · (805) 545-8951 · Fax (805) 545-8951
Fax(805) 545-8951
Sole ProprietorYes
Enumeration DateDecember 8, 2006
Last NPPES UpdateJuly 26, 20262 updates tracked since enumeration
NPI 1336209774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY12486
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License PSY12486 (CA)
11573 LOS OSOS VALLEY RD, San Luis Obispo, CA 93405

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Thomas Frederick Wylie Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Marriage & Family Therapist
11573 LOS OSOS VALLEY RD, SUITE D
SAN LUIS OBISPO, CA 93405
Marriage & Family Therapist
11573 LOS OSOS VALLEY RD, SUITE H
SAN LUIS OBISPO, CA 93405

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 Thomas Wylie's NPI number?

The NPI number for Thomas Wylie is 1336209774. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Thomas Wylie located?

Thomas Wylie practices at 11573 Los Osos Valley Rd Suite C, San Luis Obispo, CA 93405. The listed phone number is (805) 545-8951.

What is Thomas Wylie's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Thomas Wylie enrolled in Medicare?

Yes. Thomas Wylie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Wylie was last updated on July 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.