PATRICK WELDON WALL
NPI 1689563215
Marriage & Family Therapist in San Luis Obispo, CA

Q: What is Patrick Wall's NPI number?

The NPI number for Patrick Wall is 1689563215. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Q: What is Patrick Wall's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Wall was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 June 30, 2025

676 PISMO ST, SAN LUIS OBISPO, CA 93401(805) 543-7969 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 8, 2025, Jun 30, 2025 (2 updates tracked since 2025).

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About Patrick Weldon Wall NPPES

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

PATRICK WELDON WALL (NPI 1689563215) is an individual marriage & family therapist in San Luis Obispo, California, licensed in California (AMFT155046) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1689563215

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NamePATRICK WELDON WALL

Location Address676 PISMO STSan Luis Obispo, CA 93401-3945

Mailing Address559 Islay StSan Luis Obispo, CA 93401-4343

Phone(805) 543-7969

Sole ProprietorNo

Enumeration DateJune 30, 2025

Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration

NPPES CertifiedJuly 8, 2025

✔ NPI 1689563215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · AMFT155046

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

676 PISMO ST, San Luis Obispo, CA 93401

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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.

DINA MARIE KRULL APCC

Counselor (Mental Health)