DR. JUDY VAN DER WENDE PH.D.
NPI 1508928383
Psychologist - Clinical in Simi Valley, CA

Active since December 15, 2006PECOS Enrolled
3695 ALAMO ST, SUITE 200, SIMI VALLEY, CA 93063(805) 407-4730(805) 581-0889 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Judy Van Der Wende Ph.d. NPPES

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

DR. JUDY VAN DER WENDE PH.D. (NPI 1508928383) is an individual clinical provider in Simi Valley, California, licensed in California (PSY18757) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508928383
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JUDY VAN DER WENDECredential: PH.D.
Location Address3695 ALAMO ST, SUITE 200Simi Valley, CA 93063-2188
Mailing Address3695 Alamo St, Suite 200Simi Valley, CA 93063-2188 · (805) 407-4730 · Fax (805) 581-0889
Fax(805) 581-0889
Sole ProprietorYes
Enumeration DateDecember 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1508928383 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 · PSY18757
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.
3695 ALAMO ST, Simi Valley, CA 93063

Other Identifiers 1

Medicare UPINQ62945CA

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. Judy Van Der Wende 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
334 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$185.36 typical visit price
range $62.32 – $185.36
Typical copayment $46.34 (range $15.58 – $46.34)
Most-billed visit code 99205
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

Dentist (Orthodontics and Dentofacial Orthopedics)
3695 ALAMO ST, SUITE 301
SIMI VALLEY, CA 93063
Marriage & Family Therapist
3695 ALAMO ST
SIMI VALLEY, CA 93063
Dentist (Orthodontics and Dentofacial Orthopedics)
3695 ALAMO ST, STE. 301
SIMI VALLEY, CA 93063
Pharmacist
3695 ALAMO ST
SIMI VALLEY, CA 93063
Marriage & Family Therapist
3695 ALAMO ST, SUITE 200
SIMI VALLEY, CA 93063
Pharmacy (Community/Retail Pharmacy)
3695 ALAMO ST, STE 100
SIMI VALLEY, CA 93063
Home Health
3695 ALAMO ST, SUITE 200
SIMI VALLEY, CA 93063
Dentist (General Practice)
3695 ALAMO ST, SUITE #300
SIMI VALLEY, CA 93063

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 Judy Van Der Wende's NPI number?

The NPI number for Judy Van Der Wende is 1508928383. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Judy Van Der Wende located?

Judy Van Der Wende practices at 3695 Alamo St Suite 200, Simi Valley, CA 93063. The listed phone number is (805) 407-4730.

What is Judy Van Der Wende's specialty?

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

Is Judy Van Der Wende enrolled in Medicare?

Yes. Judy Van Der Wende is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Judy Van Der Wende was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.