Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Wendy Santos-Modesitt, PHD

Individual provider Clinical Neuropsychologist · NPI 1104087576

Dr. Wendy Santos-Modesitt, PHD is a Clinical Psychologist in Oakland, California. Qualified in 2013, 13 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2008
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

11 Embarcadero W Ste 145
Oakland, CA 94607-4500
Phone: (415) 203-7637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 747 52nd St, Oakland, CA 94609-1809 — (510) 428-3885

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY27242 (CA)

Record details

NPI number1104087576
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 19, 2008
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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