MRS. KATHERINE DE KOVEN WILSON (NPI# 1437246725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437246725 |
| Entity Type | Individual |
| Full Name | MRS. KATHERINE DE KOVEN WILSON |
| Other Name | MRS. ROLLIN LINCOLN WILSON |
| Credential | MS |
| Practice Address |
1957 Pruneridge Avenue Room 15 Santa Clara CA 95050-6515 |
| Practice Telephone | 4082432100 |
| Practice Fax Number | 4082474781 |
| Mailing Telephone | 4082432100 |
| Mailing Fax Number | 4082474781 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC19854 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245798487 | Katherine Denise Wilson | Speech-Language Pathologist | 1901 Tarboro St Sw Ste 301, Wilson, NC 27893-3479 | 2019-03-06 |
| 1437519907 | Katherine Elizabeth Wilson | Physical Therapist | 5372 B Old Virginia St, Urbanna, VA 23175 | 2016-02-26 |
| 1942620059 | Katherine Morgan Wilson | Pediatrics | 3399 East Grand River Ave, Suite 200, Howell, MI 48843-7555 | 2014-04-16 |
| 1134440613 | Katherine L. Wilson | Psychologist | 5750 Sunrise Blvd Ste 130-f, Citrus Heights, CA 95610-7634 | 2010-06-18 |
| 1831334226 | Katherine Wilson | Behavioral Analyst | 1404 Beverly Dr, Richmond, VA 23229-4802 | 2008-12-13 |
| 1184884520 | Katherine Jones Wilson | Speech-Language Pathologist | 8338 Blades Trl, Denver, NC 28037-9154 | 2008-06-10 |
| 1598939654 | Katherine Mclean Wilson | Counselor | 110 Timber Creek Dr, Cordova, TN 38018-4279 | 2008-04-18 |
| 1750502159 | Katherine Dunn Wilson | Dentist | 74 State Rd Ste 102, Kittery, ME 03904-1562 | 2007-05-01 |
| 1811026099 | Katherine Wilson | Acupuncturist | 68 Paul Gore St, Jamaica Plain, MA 02130-1835 | 2007-03-05 |
| 1235174558 | Katherine K Wilson | Psychologist | 175 North Cottage Street, Porterville, CA 93258 | 2006-06-19 |
| Street Address |
1957 PRUNERIDGE AVENUE ROOM 15 |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95050-6515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446115 | Amanda Tatiana Perez | Behavior Technician | 126. Main St, Santa Clara, CA 95050 | 2020-01-15 |
| 1942854013 | Beatrice M Roque | Behavior Technician | 1171 Homestead Rd Ste.250, Santa Clara, CA 95050 | 2019-07-27 |
| 1619433836 | Angelica Chavez | Behavioral Analyst | 1171 Homested Rd Ste 250, San Jose, CA 95050 | 2019-02-12 |
| 1578047551 | Tran and Nguyen Dental Corporation | Dentist | 1171 Homestead Rd Suite #214, Santa Clara, CA 95050 | 2018-09-17 |
| 1467938431 | Yvette Garcia | Behavioral Analyst | 1171 Homestead Ave #250, Santa Clara, CA 95050 | 2018-07-12 |
| 1174016117 | Kahrizak Foundation Inc. | Assisted Living Facility | 1818 Scott Blvd, Santa Clara, CA 95050 | 2018-06-13 |
| 1194217620 | Diana Urias | Behavioral Analyst | 1151 Homestead Rd Ste 250, Santa Clara, CA 95050 | 2018-05-31 |
| 1801321583 | Alexandra Araujo | Behavior Technician | 962 Reeve St, Santa Clara, CA 95050 | 2017-05-01 |
| 1366830127 | Christina Altemueller | Marriage & Family Therapist | 2797 Park Avenue, Suite 200, Santa Clara, CA 95050 | 2015-01-02 |
| 1922411503 | Olivia Brown Krakower | Speech-Language Pathologist | 1880 Pruneridge Avenue, Santa Clara, CA 95050 | 2014-06-11 |
| Find all providers in zip 95050 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639743 | Sharareh Shojaeddini | Marriage & Family Therapist | 3315 Montgomery Dr, Santa Clara, CA 95054-3028 | 2019-09-20 |
| 1396398640 | Evolibri Consulting | Marriage & Family Therapist | 4655 Old Ironsides Dr Ste 170, Santa Clara, CA 95054-1853 | 2019-07-16 |
| 1598220626 | Wren Gray-reneberg | Marriage & Family Therapist | 1957 Pruneridge Ave, Santa Clara, CA 95050-6515 | 2019-02-02 |
| 1154897262 | Jena Lenhardt | Marriage & Family Therapist | 3000 Benton St, Santa Clara, CA 95051-3736 | 2018-10-16 |
| 1467968008 | Allison Fluty | Marriage & Family Therapist | 3256 Humbolt Ave, Santa Clara, CA 95051-3749 | 2017-12-19 |
| 1871019174 | Stephanie Shigeko Fugita | Marriage & Family Therapist | 2797 Park Ave Ste 206, Santa Clara, CA 95050-6064 | 2017-08-17 |
| 1831634526 | Daniel Davis Licensed Marriage and Family Therapist A Professional Cor | Marriage & Family Therapist | 1588 Homestead Road, Suite G, Santa Clara, CA 95050-4783 | 2017-01-04 |
| 1407225709 | Khalil Foundation | Marriage & Family Therapist | 3033 Scott Blvd, Santa Clara, CA 95054-3316 | 2015-09-17 |
| 1366830127 | Christina Altemueller | Marriage & Family Therapist | 2797 Park Avenue, Suite 200, Santa Clara, CA 95050 | 2015-01-02 |
| 1841605896 | Elaine Gee-wong | Marriage & Family Therapist | 1588 Homestead Rd # 4, Suite F, Santa Clara, CA 95050-4783 | 2014-06-29 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 95050 |
Please comment or provide details below to improve the information on MRS. KATHERINE DE KOVEN WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.