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JOHANNA CHRISTINE WALTHALL PH.D.
NPI 1750604583
Psychologist - Clinical in Costa Mesa, CA

Active since March 08, 2010PECOS Enrolled
180 CABRILLO ST APT B19, COSTA MESA, CA 92627(562) 234-7568 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2021, Dec 23, 2019 (2 updates tracked since 2019).

About Johanna Christine Walthall Ph.d. NPPES

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

JOHANNA CHRISTINE WALTHALL PH.D. (NPI 1750604583) is an individual clinical provider in Costa Mesa, California, licensed in California (PSY21948) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750604583
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJOHANNA CHRISTINE WALTHALLCredential: PH.D.
Location Address180 CABRILLO ST APT B19Costa Mesa, CA 92627-3051
Mailing Address17046 Marygold AveFontana, CA 92335-1722 · (909) 427-6705
Phone(562) 234-7568
Sole ProprietorYes
Enumeration DateMarch 8, 2010
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
NPPES CertifiedDecember 6, 2021
✔ NPI 1750604583 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 · PSY21948
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.
180 CABRILLO ST APT B19, Costa Mesa, CA 92627
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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)

Johanna Christine Walthall 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92627 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Johanna Walthall's NPI number?

The NPI number for Johanna Walthall is 1750604583. It was assigned to this individual provider in the NPPES registry on March 8, 2010.

Where is Johanna Walthall located?

Johanna Walthall practices at 180 Cabrillo St Apt B19, Costa Mesa, CA 92627. The listed phone number is (562) 234-7568.

What is Johanna Walthall's specialty?

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

Is Johanna Walthall enrolled in Medicare?

Yes. Johanna Walthall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johanna Walthall was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.