MR. AUBURN WILSON III (NPI# 1538207931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538207931 |
| Entity Type | Individual |
| Full Name | MR. AUBURN WILSON III |
| Practice Address |
3077 Fite Cir Suite 6 Sacramento CA 95827-1814 |
| Mailing Address |
4719 Quail Lakes Dr G 206 Stockton CA 95207-5267 |
| Practice Telephone | 9168541801 |
| Practice Fax Number | 9168541809 |
| Mailing Telephone | 9168541801 |
| Mailing Fax Number | 9168541809 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3077 FITE CIR SUITE 6 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95827-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144539057 | Paul Robert Casey | Psychologist | 3077 Fite Cir, Sacramento, CA 95827-1814 | 2010-09-28 |
| 1609020676 | Benjamin Vargas Serna I | Counselor | 3077 Fite Cir, Suite 6, Sacramento, CA 95827-1814 | 2008-11-04 |
| 1346412038 | Jamie Ann Johnson | Counselor | 3077 Fite Cir, Sacramento, CA 95827-1814 | 2008-04-02 |
| 1255530200 | Brittany Nicole Hullum | Registered Nurse | 3077 Fite Cir, Suite 6, Sacramento, CA 95827-1814 | 2007-07-11 |
| 1073711214 | Stephannie Raquel Newman | Counselor | 3077 Fite Cir, Suite 6, Sacramento, CA 95827-1814 | 2007-07-10 |
| 1144428277 | Kimberly Kia West | Community/Behavioral Health | 3077 Fite Cir, Sacramento, CA 95827-1814 | 2007-07-10 |
| 1891993945 | Judith Ann Esquivel | Marriage & Family Therapist | 3077 Fite Cir, Sacramento, CA 95827-1814 | 2007-07-10 |
| 1811013139 | John Walburn | Case Manager/Care Coordinator | 3077 Fite Cir, Suite 6, Sacramento, CA 95827-1814 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170235 | Amy Braley | Occupational Therapist | Love Joy Adhc, 10293 Rockingham Dr, Sacramento, CA 95827 | 2019-12-09 |
| 1164078598 | Theresa Marie Reich | Home Health Aide | 9819 Lebra Avenue, Sacramento, CA 95827 | 2019-08-12 |
| 1790257475 | Elissa Beth Crandall | Counselor | 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 | 2018-12-19 |
| 1649746900 | Christopher Avery Di Domenico | Counselor | North Site: 4441 Auburn Blvd, Suite E, Sacramento, CA 95827 | 2018-10-15 |
| 1285156661 | Keith Ramon Blakely | Counselor | 9738 Lincoln Village, Sacramento, CA 95827 | 2017-07-07 |
| 1376065755 | Julianne Marlene Divirgilio | Counselor | 9738 Lincoln Village Dr., Sacramento, CA 95827 | 2017-07-07 |
| 1275981409 | Carl Phillips Jr. | Counselor | 2819 Pepper Oaks Dr, Sacramento, CA 95827 | 2016-05-27 |
| 1316335581 | Nancy Khun | Counselor | 3990 Branch Center Rd., Sacramento, CA 95827 | 2014-12-22 |
| 1750623385 | Davidshka Lynel Shavers | Counselor | 3340 Viking Dr, Suite 114, Sacramento, CA 95827 | 2013-03-21 |
| 1114263803 | John Kwamena Bankas | Marriage & Family Therapist | 9837 Folsom Blvd., Ste. F, Sacramento, CA 95827 | 2012-12-27 |
| Find all providers in zip 95827 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730813 | Debrah Deans Therapy | Counselor | 1023 H St Ste B5, Sacramento, CA 95814-2815 | 2020-11-02 |
| 1417554007 | Norman Plotkin | Counselor | 717 K St Ste 430, Sacramento, CA 95814-3477 | 2020-10-06 |
| 1841806049 | Alexis C Nicodemus | Counselor | 10419 Old Placerville Rd, Sacramento, CA 95827-2509 | 2020-09-22 |
| 1265047310 | Pamela J Hammon | Counselor | 5572 Lackland Way, Sacramento, CA 95835-1540 | 2020-09-14 |
| 1164031357 | Dawn Patriece Carter | Counselor | 7215 Kara Dr, Sacramento, CA 95828-3506 | 2020-07-23 |
| 1821616103 | Chrystal Rene Baisley | Counselor | 3550 Watt Ave Ste 3, Sacramento, CA 95821-2668 | 2020-07-13 |
| 1417595422 | Kaeo Vang | Counselor | 906 G St Ofc 539, Sacramento, CA 95814-1800 | 2019-12-20 |
| 1780227298 | Alina A Sala | Counselor | 248 Arbor Crest Way, Sacramento, CA 95838-2031 | 2019-10-28 |
| 1144885963 | Jennifer Salvi | Counselor | 460 Drake Cir, Sacramento, CA 95864-5666 | 2019-05-07 |
| 1609431048 | Jessica Joanne Higgins Magana | Counselor | 6600 44th St Ste A, Sacramento, CA 95823-1260 | 2019-05-01 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95827 |
Please comment or provide details below to improve the information on MR. AUBURN WILSON III.
| 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.