ANDREA WAHLBERG PH.D.
NPI 1639522253
Clinical Neuropsychologist in Plano, TX

Q: What is Andrea Wahlberg's NPI number?

The NPI number for Andrea Wahlberg is 1639522253. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Q: What is Andrea Wahlberg's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Wahlberg was last updated on July 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 July 19, 2016PECOS Enrolled

7601 PRESTON RD, SUITE P4300, PLANO, TX 75024(469) 303-4090 Get Directions Write a Review

NPPES record last updated: July 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Andrea Wahlberg Ph.d. NPPES

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

ANDREA WAHLBERG PH.D. (NPI 1639522253) is an individual clinical neuropsychologist in Plano, Texas, licensed in Texas (37231) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639522253

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameANDREA WAHLBERGCredential: PH.D.

Location Address7601 PRESTON RD, SUITE P4300Plano, TX 75024-3214

Mailing Address7601 Preston Rd, Suite P4300Plano, TX 75024-3214 · (469) 303-4090

Phone(469) 303-4090

Sole ProprietorNo

Enumeration DateJuly 19, 2016

✔ NPI 1639522253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in TX · 37231

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

7601 PRESTON RD, Plano, TX 75024

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Wahlberg 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 20

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

MRS. JENNIFER ARCHER MOYLON PA-C

Physician Assistant (Medical)