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DR. MIRIAM S. WALD
NPI 1649352733
Psychologist - Clinical in Petaluma, CA

Active since October 19, 2006
523 HAYES LN, PETALUMA, CA 94952(800) 257-8715(800) 819-1655 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Miriam S. Wald NPPES

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

DR. MIRIAM S. WALD (NPI 1649352733) is an individual clinical provider in Petaluma, California, licensed in California (PSY10413) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1649352733
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MIRIAM S. WALD
Location Address523 HAYES LNPetaluma, CA 94952-4011
Mailing Address5062 Morocco DrSanta Rosa, CA 95409-3605 · (707) 538-7726
Phone(800) 257-8715
Fax(800) 819-1655
Sole ProprietorNo
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649352733 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 · PSY10413
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.
523 HAYES LN, Petaluma, CA 94952
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Other Identifiers 4

MedicaidPSY104130CA
Medicare ID-Type Unspecified0PL104130CA
Other0PL104130CA · Blue Cross Blue Shield
Other680006644CA · Rail Road

Other Providers at the Same Location NPPES 15

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

DR. MANJIT K. KAURA
Psychologist (Clinical)
523 HAYES LN
PETALUMA, CA 94952
Sonoma County (800) 257-8715
DR. JULIA WINSTON MELODY
Psychologist (Clinical)
523 HAYES LN
PETALUMA, CA 94952
Sonoma County (800) 257-8715
ERIN MARIE COCHRUN
Physical Therapy Assistant
523 HAYES LN
PETALUMA, CA 94952
Sonoma County (707) 328-3410
WINDSOR CARE CENTER OF PETALUMA LLC
Skilled Nursing Facility
523 HAYES LN
PETALUMA, CA 94952
Sonoma County (707) 763-2457
PLEASANT CARE
Skilled Nursing Facility
523 HAYES LN
PETALUMA, CA 94952
Sonoma County (707) 763-2457
DR. KATHLEEN (CATHERINE) PATRICIA SEYMOUR
Psychologist (Clinical)
523 HAYES LN
PETALUMA, CA 94952
Sonoma County (800) 257-8715
DR. VICTORIA ASHLEY GRACE DWYER
Physical Therapist (Geriatrics)
523 HAYES LN
PETALUMA, CA 94952
Sonoma County (707) 763-2457
PETALUMA SNF HEALTHCARE, LLC
Skilled Nursing Facility
523 HAYES LN
PETALUMA, CA 94952
Sonoma County (707) 763-2457

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 Miriam Wald's NPI number?

The NPI number for Miriam Wald is 1649352733. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Miriam Wald located?

Miriam Wald practices at 523 Hayes Ln, Petaluma, CA 94952. The listed phone number is (800) 257-8715.

What is Miriam Wald'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 Miriam Wald was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.