IndividualActive
Brenda Wiederhold, PH.D.
NPI 1134745474 · Clinical Psychologist · La Jolla, CA
Provider details
- NPI number
- 1134745474
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- PSY16840 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Virtual Reality Medical Center
9834 Genesee Avenue, Suite 427
La Jolla, CA 92037
Phone: (858) 642-0267
Approximate (ZIP-level) locationGet directions
Mailing address
Virtual Reality Medical Center
San Diego, CA 92121
Registry dates
- Enumerated
- 2020-06-23
- Last updated
- 2020-06-23
- Certified
- 2020-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.