MICHAEL WIEDERSTEIN PH.D.
NPI 1609918838
Psychologist in Elk Grove, CA

Active since February 13, 2007
9120 TRUMBAUER WAY, ELK GROVE, CA 95758(916) 662-5893 Get Directions Write a Review

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

About Michael Wiederstein Ph.d. NPPES

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

MICHAEL WIEDERSTEIN PH.D. (NPI 1609918838) is an individual psychologist in Elk Grove, California, licensed in California (PSY 11582) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1609918838
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMICHAEL WIEDERSTEINCredential: PH.D.
Location Address9120 TRUMBAUER WAYElk Grove, CA 95758
Mailing Address9120 Trumbauer WayElk Grove, CA 95758 · (916) 662-5893
Sole ProprietorYes
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1609918838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY 11582
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.
9120 TRUMBAUER WAY, Elk Grove, CA 95758

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 Michael Wiederstein's NPI number?

The NPI number for Michael Wiederstein is 1609918838. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Michael Wiederstein located?

Michael Wiederstein practices at 9120 Trumbauer Way, Elk Grove, CA 95758. The listed phone number is (916) 662-5893.

What is Michael Wiederstein's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Wiederstein 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.