DR. DANA MOKRZYCKA WIDEMAN PH.D
NPI 1497518328
Psychologist - Clinical in Los Altos, CA

Q: What is Dana Wideman's NPI number?

The NPI number for Dana Wideman is 1497518328. It was assigned to this individual provider in the NPPES registry on February 2, 2024.

Q: What is Dana Wideman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dana Wideman was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 02, 2024

241 S SAN ANTONIO RD, LOS ALTOS, CA 94022(650) 328-5645 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Dana Mokrzycka Wideman Ph.d NPPES

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

DR. DANA MOKRZYCKA WIDEMAN PH.D (NPI 1497518328) is an individual clinical provider in Los Altos, California, licensed in California (PSY11581) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1497518328

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DANA MOKRZYCKA WIDEMANCredential: PH.D

Location Address241 S SAN ANTONIO RDLos Altos, CA 94022-3751

Mailing Address241 S San Antonio RdLos Altos, CA 94022-3751 · (650) 328-5645

Phone(650) 328-5645

Sole ProprietorYes

Enumeration DateFebruary 2, 2024

NPPES CertifiedFebruary 2, 2024

✔ NPI 1497518328 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 · PSY11581

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.

241 S SAN ANTONIO RD, Los Altos, CA 94022

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Other Providers at the Same Location NPPES

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

ELIZABETH BIGGART

Psychologist (Clinical)

241 S SAN ANTONIO RD
LOS ALTOS, CA 94022

Santa Clara County (650) 322-1975

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 Dana Wideman's NPI number?

The NPI number for Dana Wideman is 1497518328. It was assigned to this individual provider in the NPPES registry on February 2, 2024.

Where is Dana Wideman located?

Dana Wideman practices at 241 S San Antonio Rd, Los Altos, CA 94022. The listed phone number is (650) 328-5645.

What is Dana Wideman'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 Dana Wideman was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.