Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Wellisch, PHD

Individual provider Clinical Psychologist · NPI 1861404782

David Wellisch, PHD is a Clinical Psychologist in Beverly Hills, California. Qualified in 1975, 51 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
51
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

450 N Bedford Dr Ste 310
Beverly Hills, CA 90210-4307
Phone: (310) 710-6432
Fax: (323) 375-3204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY4936 (CA)
Psychologist Taxonomy 103T00000X · Licence PSY4936 (CA)

Record details

NPI number1861404782
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 12, 2006
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024
Mailing address5767 W Century Blvd, Suite 200, Los Angeles, CA 90045-5632

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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